眼球钝挫伤眼压异常分析

Clinical analysis of abnormal intraocular pressure with ocular contusion

摘要:

目的:分析眼球钝挫伤患者的眼压变化。方法:眼球钝挫伤患者181例,就诊时以眼压>24mmHg为高眼压,<10mmHg为低眼压,并对眼压异常的原因进行分类分析。结果:眼球钝挫伤患者181例中眼压异常者120例(66.3%),其中高眼压98例(81.7%),低眼压22例(18.3%),其眼压变化可由多种原因引起,主要原因有前房出血、玻璃体出血、瞳孔放大、虹膜根部离断、房角后退、晶状体脱位、玻璃体涌前房、视网膜挫伤、睫状体脱离等。结论:眼球钝挫伤常导致眼压异常变化,眼科医生应引起足够重视。

Abstract:

AIM:To analyze the change of intraocular pressure(IOP)with ocular contusion.METHODS:A total of 181 cases were diagnosed with ocular contusion,the IOP >24mmHg was regarded as ocular hypertension and the IOP <10mmHg was regarded as ocular hypotension;the causes of abnormal IOP were classified and analyzed.RESULTS:Totally 120 cases(66.3%)in 181 cases of ocular contusion were of abnormal IOP:98 cases(81.7%)of 120 cases were of ocular hypertension,22 cases(18.3%)were of ocular hypotension.Clinical findings:the IOP after ocular contusion was associated with many complications,including hyphema,vitreous hemorrhage,mydriasis,iridodialysis,recession of anterior chamber angle,lens dislocation,vitreous body rush into anterior chamber,retinal concussion,detachment of ciliary body,etc.CONCLUSION:Ocular contusion can cause abnormal intraocular pressure,therefore ophthalmologist should think highly of it.