眼球挫伤后并发屈光不正的临床分析

Clinical Analysis of Patients with Ametropia after Ocular Contusion

目的：探讨眼球挫伤后并发屈光不正的临床诊断和治疗方法。方法：2011年9月-2012年12月间我院36例眼球挫伤患者43眼眼球挫伤,作对症治疗后,以裸眼视力检查法配合检影验光法对可以行屈光检查的损伤眼进行屈光检查,给予复方托品酰胺滴眼液配合维生素、扩血管药物作配合治疗屈光不正。结果：43眼眼球挫伤后均有不同程度屈光不正,对症处理后矫正视力均有所提高,3个月后随访,35眼裸眼视力恢复正常,矫正视力达1.0者39眼,矫正视力仍未达到1.0者共4例,但小瞳验光检查屈光度均比3个月前有所减少。结论：眼球挫伤并发屈光不正一般与睫状肌、晶状体有关,多为暂时性屈光不正,不需对其进行特殊处理,而以复方托品酰胺滴眼液配合维生素、扩血管药物能较好地改善供血、缓解水肿,对帮助患者视力恢复有一定的作用。

Objective：To investigate the clinical diagnosis and treatment method of concurrent ametropia after ocular contusion. Methods：From 2011 September-2012 year in December in our hospital 36 cases of eyeball contusion in 43 eye contusion,as after the symptomatic treatment,the visual acuity examination method with retinoscopy method can damage the eyes of refraction refraction examination,given compound tropicamide eye drops and vitamin,vasodilators and cooperation treatment of ametropia.Results：43 eyes after ocular contusion have varying degrees of refractive error,symptomatic treatment corrected visual acuity improved,after three months of follow-up,visual acuity recovered to normal in 35 eyes,visual acuity reached 1 in 39 eyes,visual acuity of 1 has not yet reached a total of 4 cases,but the pupil optometry diopter were more than three months former has decreased. Conclusion：The ocular contusion with ametropia generally related to ciliary muscle,lens,was temporary ametropia,does not need special treatment on it,and compound tropicamide eye drops with the vitamin,vasodilator drugs can improve blood supply,alleviate edema, have a certain effect on the recovery of help patients eyesight.