论文部分内容阅读
目的:分析木头所致眼外伤的临床特征及治疗。方法:回顾性分析潍坊医学院附属医院眼科中心2018年8~12月眼部木头击伤25例(25眼)。结果:其中闭合性眼外伤者15例,并发症有前房积血、晶状体损伤及睫状体脱离,同时有3种并发症者2例,有2种并发症者2例,仅1种并发症者11例;15例均行晶状体手术,其中睫状体缝合手术者4例,玻璃体切除联合晶状体手术者10例。开放性眼外伤者10例,伤口位于Ⅰ、Ⅱ、Ⅲ区者分别为7例、2例、1例;均行一期清创缝合术,晶状体手术者4例,玻璃体切除手术者2例,玻璃体切除联合晶状体手术者4例。A组并发症的类型与视力受损情况之间差异有统计学意义(n P<0.05);B组不同伤口部位与视力受损情况之间差异有统计学意义(n P<0.05)。A、B两组术后视力差异有统计学意义(n P<0.05)。n 结论:闭合性眼外伤中随着并发症的增多,视力受损情况明显加重;开放性外伤中伤口部位是影响视力的重要因素,I区伤口者较Ⅱ、Ⅲ区伤口者视力明显较好。开放性外伤视力预后明显差于闭合性外伤。“,”Objective:To analyze the clinical features and treatment of the ocular trauma caused by wood.Methods:A total of 25 eyes of 25 cases with ocular trauma caused by wood from Aug. 2018 to Dec. 2018 in Affiliated Hospital of Weifang Medical University were retrospectively analyzed.Results:There were 15 cases with closed ocular trauma, the complications included hyphema, lens injury and cyclodialysis cleft. There were 2 cases with 3 kinds of complications, 2 cases with 2 kinds of complications and 11 cases with only 1 kind of complication. All the 15 cases underwent lens surgery, and among them 4 cases received cilliary suture and 10 cases received vitrectomy combined with lens surgery. Among 10 cases with open ocular trauma, the range of injury in zone Ⅰ was 7 cases, 2 cases in zone Ⅱ and 1 case in zone Ⅲ. The 10 cases underwent one stage debridement and suturing, which combined with lens surgery in 4 cases, 2 cases with vitrectomy and 10 cases with vitrectomy and lens surgery. The difference was statistically significant between types of complications in group A and visual acuity impairment (n P<0.05). The difference was statistically significant between locations of trauma and visual acuity impairment in group B (n P<0.05). The difference in postoperative visual acuity was statistically significant between two groups.n Conclusion:With the increase of complications in closed ocular trauma, the visual impariment is obviously influenced. The range of injury is a significant factor affecting visual prognosis in open ocular trauma. The visual acuity of patient with injury in zoneⅠis better than that in zone Ⅱ and zoneⅢ. Open ocular trauma has a worse prognosis of visual acuity than that of closed ocular trauma.