我国机械性眼外伤防治的研究现状与进展

The present situation and progress in the research of the mechanical eye injury in China

据文献报道,我国县级医院眼科门诊和住院患者中机械性眼外伤占有重要比例,出院时确定眼外伤盲位居首位。眼外伤的防治依然是我国眼科工作者的主要任务之一。近几年,国际眼外伤的分类和分区已被逐步认可和采用。眼外伤一期处理水平普遍提高,二期手术的手术时机广泛受到重视。一期眼球摘除的指征得到严格控制。对拟行眼球摘除患眼的挽救效果取得重要进展。另外,建立全国眼外伤登记网络和实施多中心研究是有效预防眼外伤发生和提高救治水平的重要步骤。

The patients of eye injury of inpatients and outpatients in county and prefecture hospitals were reported in some proportion in the ophthalmologic literature . Eye injury was the leading cause among the blind eyes determined at the discharge from the hospitals. Therefore , the prevention and treatment of eye injury has been the priority for Chinese ophthalmologists. In recent years, the international standard classification of the type and location of eye injury has been accepted and adopted in China . The level of primary wound management for eye injury has been raised in all hospitals . The timing of continued treatment sustaining vitrectomy procedures has been emphasized widely. The indications of primary enucleation have been strictly controlled by ophthalmologists. The remarkable progress has been made in rescue of presumed enucleation candidates. It is essential to establish a nationwide registry system and to conduct the muhicenter trial for the control of eye injury in the future.