[关键词]
[摘要]
目的:评估香港地区弱视易发期的儿童开放性眼球创伤的统计学及临床特征以及视力预后。
方法:回顾性研究并分析了2005/2015年所有0~8岁眼球开放性创伤儿童的病历记录,对其眼部特征及所进行的初次及其后手术、手术前后的最佳矫正视力及并发症进行分析。
结果:开放性眼球创伤7例(男2例,女5例)中,年龄的中位数为5岁。全部是眼球穿破伤(100%)。其中4例(57%)手术后视力有进步。最终视力:手动(1例患者),20/200~20/50(4例患者),20/40或以上(2例患者)。
结论:在香港,眼球开放性创伤在儿童群组相对罕见。眼球受伤破裂的位置和严重性,及时手术治疗恢复眼球的完整性和对弱视的积极治疗等是预后良好视力的关键因素。
[Key word]
[Abstract]
AIM: To evaluate the demographics, characteristics and visual outcomes of open globe injuries in children of amblyogenic age in Hong Kong.
METHODS: All medical records of children aged between 0 to 8y old who sustained open globe injuries between Jan. 1st, 2005 and Jan. 1st, 2015 were reviewed retrospectively. The demographics, clinical features(laterality, etiology and zone of injury, other associated ocular injuries), type of primary and secondary operations performed, preoperative and postoperative best spectacle corrected visual acuity(BSCVA)complications were collected and analysed.
RESULTS: A total of 7 cases, 2 males and 5 females were identified. The median age of presentation was 5 years old. All suffered from penetrating injuries(100%). Four cases(57%)had improvement of visual acuity compared with preoperative visual acuity. Final visual acuity was hand movement in one(14%)patient, 20/200-20/50 in four(57%)patients, and 20/40 or better in two(29%)patients.
CONCLUSION: There is a relative low rate of open globe injuries in young children in Hong Kong. Good visual outcomes may be obtained depending on the location and severity of the open globe injury together with prompt surgical management to restore the integrity of the globe and aggressive management of amblyopia.
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