眼球鈍挫傷引發眼內病變之病例回顧

The Review of Ocular Blunt Injury with Ocular Changes

伍開宗(Kai-Tzong Wu) ； 蔡顯揚(Hsien-Yang Tsai) ； 李世煌(Shi-Huang Lee)

《中華民國眼科醫學會會刊》 29卷2期 (1990/05) Pp. 1024-1029

https://doi.org/10.30048/ACTASOS.199005.0179

摘要

我們收集了74例經為眼球鈍挫傷患者，依受傷形態分為眼前段及眼後段鈍挫傷；在眼前段中(1)房出血20例，其出血量在3/4以上，產生青光眼的機率很高(6/7)：(2)前房角退縮不超過一百八十度也可產生青光眼(5/7)；(3)青光眼患者17例，依造成的原因給予治療，眼壓多可控制下來。在眼後段中，(1)視網膜震傷患者11例，在水腫消失後患處出現脈絡膜網膜退化，視力並未明顯改善，且多合併有其他部位的病變；(2)脈絡膜破裂11例，視力預後決定於破裂位置及以後是否併發視網膜下新生血管膜；(3)視神經損傷11例，多發生於厲害鈍挫傷，使視力嚴重障礙，並且此類患者受傷時視力即與最終視力十分相關。

並列摘要

Wu collected and analysed 74 ocular blunt injury patients, and devided it into two groups, anterior and posterior segment injury. In anterior segment blunt injury, (1) Hyphema 20 cases, 6 of 7 with total hyphema developed glaucoma. (2) Angle recession 7 cases, 6 of them had glaucoma, which was more common even the angle recession was no more than 180 degree. (3) Traumatic glaucoma 17 cases. The intraocular pressure was well control if properly managed.
In posterior segment blunt injury, (1) The visual outcome was variable in the 10 cases of commotio retinae. (2) The prognosis of visual acuity in 10 choroidal rupture cases depended on its location of rupture and the occurance of SRNVM subsequently. (3) 10 cases of optic nerve injury, most of the injuries were caused by traffic accidents and resulted in severe visual impairement afterward. Besides, there were no apparent improvement of visual acuity in the follow up period of time.

並列關鍵字

Blunt injury ； Hyphema ； Commotio retinae ； Choroidal repture