隐匿性巩膜裂伤47例临床分析

Clinical analysis of latent rupture in sclera

目的:探讨隐匿性巩膜裂伤临床表现和手术方法方法:总结2000-05/2004-05因隐匿性巩膜裂伤而行手术治疗的47例(47眼),分析其致伤原因、临床表现、手术方法及结果。结果:术后视力≥0.05者20眼,视力<0.05者12眼,眼球萎缩10眼,眼球摘除5眼。结论:隐匿性巩膜裂伤主要由眼挫伤引起,应及时根据临床表现进行手术探查,缝合伤口,预防并发症发生。

AIM： To explore the clinical representation and operative methods of latent rupture in sclera. METHODS： We summarize the operative treatment of forty seven cases （47 eyes）with latent rupture in sclera from May 2000 to May 2004, to analyze the causes of injure,clinical representation,operative methods and results. RESULTS： After surgery, the vision of 20 eyes ≥0.05, the vision of 12 eyes 〈 0.05,the atrophy of eyeball was 10 eyes, the excision of eyeball was 5 eyes. CONCLUSION： The latent rupture in sclera was mainly caused by blunt trauma of the globe. According to clinical representation, it should be given operative probe and wound suture in time to prevent complications.