目的:回顾性分析221例233眼外伤性青光眼的原发病因及治疗情况,为这类青光眼的防治提供流行病学资料。方法:对我院2004-06/2009-05住院的外伤性青光眼221例233眼进行分析。结果:外伤性青光眼221例中按病因分为前房岀血95例98眼(43.0%),晶状体脱位50例53眼(22.6%),房角后退39例43眼(17.6%),晶状体皮质释放20例20眼(9.1%),角膜穿孔伤8例8眼(3.6%),球内异物6例6眼(2.7%),化学烧伤3例5眼(1.4%)。外伤性青光眼以眼球钝挫伤致前房出血居多。结论:外伤性青光眼的发病机制与病因复杂,视功能损伤严重,预防与合理治疗外伤性青光眼是挽救患者视力的重要环节。

AIM:To analyze the etiopathogenisis and therapeutic conditions of traumatic glaucoma, and provide epidemiologic data for traumatic glaucoma.METHODS: Retrospective analysis of 221 cases 223 eyes of traumatic glaucoma from June 2004 to May 2009 in our hospital was performed. RESULTS: According its etiopathogenisis, it concluded 95 cases 98 eyes(43.0%) of hyphema, 50 cases 53 eyes(22.6%) of dislocation of the lens, 39 cases 43 eyes(17.6%) of angle recession, 20 cases 20 eyes(9.1%) of lens cortex release, 8 cases 8 eyes(3.6%) of corneal perforation, 6 cases 6 eyes(2.7%) of intraocular foreign body, 3 cases 5 eyes(1.4%) of chemical burns. The majority of traumatic glaucoma was caused by hyphema after blunt trauma.CONCLUSION: The pathogenesis and etiopathogenisis of traumatic glaucoma are complex and visual function damage is serious. Prevention and rational treatment of traumatic glaucoma are the key factors to save the patients’ visual acuity.

R775