眼挫伤早期高眼压76例临床分析

Clinical analysis of 76 cases of ocular hypertension after ocular contusion in early stage

目的 探讨眼挫伤早期发生高眼压的原因及治疗方法.方法 回顾分析76例（76眼）眼挫伤早期引起眼压升高者的临床资料.结果 本组76例中眼内出血52例占68.42％,其中前房积血50例占65.79％,玻璃体积血2例占2.63％;前房角挫伤伴前房积血、虹膜炎16例占21.05％;晶状体脱位伴前房积血或虹膜炎8例占10.53％.经药物或手术治疗,眼压均得到有效控制,视力明显恢复.结论 眼挫伤所致眼压升高前房积血是主要原因,其次为多种因素共同作用,根据病因采取有针对性的治疗.

Objective To investigate the causes and treatment of ocular hypertension after ocular contusion in early stage.Methods The clinical data of 76 eyes of 76 cases of ocular hypertension after ocular contusion in early stage were retrospectively analyzed.Results The causes of ocular hypertension after ocular contusion in early stage were intraocular hemorrhage in 52 eyes [68.42％ ; including hyphema in 50 eyes （65.79％） and vitreous hemorrhage in 2 eyes （2.63％）],anterior segment contusion with hyphema or iritis in 16 eyes （21.5％）,lens luxation with hyphema or iritis in 8 eyes （10.53％）.The intraocular pressure in all cases was controlled by medical treatment or surgery successfully.The visual acuities were improved obviously.Conclusion The main cause of ocular hypertemion after ocular contusion in early stage is hyphema,next is multiple factors.The patients should be treated directly to the causes.