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1目的 观察严重眼前节病变对眼后节组织病理学变化的影响。 2方法 1980年 2月～ 1992年 8月 ,本病理研究室收到因严重眼前节病变视功能丧失而行眼球摘除的 89例 89眼标本 ,行连续切片 ,在光学显微镜下复习其前节的病理改变 ,并重点观察眼后节的病理变化 ,其中角膜溃疡 36例 ,角膜溃疡穿孔 49例 ,角膜移植术后感染 2例 ,老年性白内障囊内摘除术后及小梁切除术后感染各 1例。 3结果 在 85例角膜疾病病人中 ,脉络膜有急、慢性炎症者 2 2例 ,脉络膜脱离者 2 3例 ,脉络膜上腔积液 13例 ,积血 10例。视网膜脱离 42例 ,视网膜水肿 34例 ,视网膜炎及血管周围炎 2 3例 ,视网膜出血 9例。视盘水肿 12例 ,视神经炎及血管周围炎 2 0例。玻璃体积血 6例 ,玻璃体渗出物蓄积 7例 ,玻璃体积脓 2例 ,纤维带形成 2例。 4例眼前节术后感染病例亦有同样变化。 4结论严重眼前节疾病可以导致严重眼后节的病理变化 ,临床治疗中应引起重视。
Objective To observe the effect of serious anterior segment lesions on the histopathological changes in the posterior eye. 2 Methods February 1980 ~ August 1992, the Pathology Laboratory received severe ocular anterior segment lesions due to loss of function and enucleation of 89 cases of 89 eyes, the line of serial sections under the light microscope, review of the previous section The pathological changes were observed and the pathological changes of the posterior eye were observed. Among them, 36 cases were corneal ulcer, 49 cases corneal ulcer perforation, 2 cases post corneal transplantation infection, 1 case after senile cataract extraction and trabeculectomy example. 3 Results 85 cases of corneal disease patients, choroidal acute and chronic inflammation were 22 cases, 23 cases of choroidal detachment, choroidal effusion in 13 cases, hemorrhage in 10 cases. Retinal detachment in 42 cases, 34 cases of retinal edema, retinitis and perivascular inflammation in 23 cases, 9 cases of retinal hemorrhage. Optic disc edema in 12 cases, optic neuritis and perivascular inflammation 20 cases. Vitreous hemorrhage in 6 cases, vitreous exudate accumulation in 7 cases, 2 cases of vitreous suppurative, fibrous band formation in 2 cases. 4 cases of anterior segment postoperative infections also have the same changes. 4 Conclusion Severe anterior segment disease can lead to serious pathological changes in the posterior eye, clinical treatment should be taken seriously.