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目的:寻找因钝器损伤导致前房积血的原因、视力损伤等相关情况,并探讨治疗后的并发症及预后视力情况。方法:回顾性分析在马来亚大学医疗中心(马来西亚吉隆坡)治疗的因钝器损伤导致前房积血118例患者。从患者的病情记录获取患者的性别、年龄、种族、钝伤导致的积血原因、眼附属物、入院视力、相关眼科情况、并发症和视力结果等资料,并采用SPSS软件进行分析。结果:男性受累居多,占93.2%,有2/3患者(67.8%)年龄<30岁。运动相关的伤害(38.1%)是最常见的前房积血原因。66.9%的患者5d内前房出血消失。虹膜损伤非常普遍,包括括约肌撕裂,虹膜根部断离等,而并发玻璃体出血患者约占11.9%。住院期间,二次观察出血的患者为3.4%。在最后的随访中视力≥6/18的最佳矫正视力占85.4%。这些患者随访不到位导致继发性青光眼的发病率无法确定。中度角膜血染患者约占0.8%。结论:在马来西亚,运动相关的损伤是前房出血最常见的原因。适当和及时的治疗能使钝伤性前房积血患者具有良好的视力,且无严重并发症发生。
OBJECTIVE: To find out the causes of hyphema injury caused by anterior chamber hemorrhage, visual impairment and other related conditions, and to explore postoperative complications and prognosis of visual acuity. METHODS: A retrospective analysis of 118 patients with hyphema injury leading to hyphema in the treatment of malaria at the University of Malaya Medical Center in Kuala Lumpur, Malaysia. Patient’s gender, age, race, cause of hemorrhage caused by blunt trauma, ocular appendages, hospital vision, related ophthalmology, complications and visual acuity were obtained from the patient’s condition record and analyzed by SPSS software. Results: The majority of men were involved, accounting for 93.2%. Two thirds (67.8%) of them were <30 years old. Exercise-related injuries (38.1%) were the most common cause of hyphema. 66.9% of patients within 5d disappear into the anterior chamber. Iris injury is very common, including sphincter tear, the iris root disconnection, etc., and concurrent vitreous hemorrhage accounted for about 11.9%. During hospitalization, secondary bleeding was observed in 3.4% of patients. In the final follow-up visual acuity ≥ 6/18 best corrected visual acuity accounted for 85.4%. Follow-up of these patients leads to the incidence of secondary glaucoma can not be determined. Moderate corneal blood stained patients account for about 0.8%. Conclusion: Exercise-related injuries are the most common cause of hyphema in Malaysia. Appropriate and timely treatment can blunt traumatic hyphema patients have good vision, and no serious complications.