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Traumatic endophthalmitis and the outcome after vitrectomy in young children 认领
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作者 Ya-Li Zhou Yi-Xiao Wang +2 位作者 Teng-Teng Yao Yuan Yang Zhao-Yang Wang 《国际眼科杂志:英文版》 SCIE CAS 2020年第3期406-411,共6页
AIM:To explore the traumatic endophthalmitis in young children and the outcome of pars plana vitrectomy(PPV).METHODS:Twenty-two eyes of 22 cases of young children consecutive pediatric traumatic endophthalmitis treate... AIM:To explore the traumatic endophthalmitis in young children and the outcome of pars plana vitrectomy(PPV).METHODS:Twenty-two eyes of 22 cases of young children consecutive pediatric traumatic endophthalmitis treated and followed up between September 2014 and May 2018 were included.Aqueous humor or vitreous samples were taken for bacterial culture and sensitivity tests.Intravitreal antibiotics(norvancomycin and ceftazidime)injection,combined with 23-gauge PPV,were administered in 22 eyes.Silicone oil(SO;5000 centistoke)tamponade or perfluoropropane gas(C3F8)was used in all patients.Main outcome measures were best-corrected visual acuity(BCVA)and retinal attachment,the ratio of penetrating injury,and the existence of intraocular foreign body.RESULTS:The mean age of patients was 6.9±2.2(range,3-10)y.All injured eyes suffered from penetrating ocular injury with retained intraocular foreign body in one eye.Bacterial culture was positive in only 2 eyes.The mean follow-up time was 21.1±4.7(range,12-30)mo.In the primary PPV,intravitreal antibiotics was administrated in all eyes,SO in 18 eyes,and C3F8 in 4 eyes.The secondary operation of SO removal and C3F8 endotamponade was performed in 16 eyes and a second SO endotamponade due to emulsification of the oil and retinal detachment(RD)was operated in 7 eyes underwent 3 to 11.5 mo after primary PPV.A third operation was done in 7 eyes.The final intraocular pressure(IOP)was 8.9±1.8(range,6.9-11.4)mm Hg.The final BCVAs were 20/200 or better in 5,counting fingers in 2,and light perception to hand movement in 8 eyes.Whose(66.7%)had retinal injury exhibited worse BCVA(P=0.019,Fisher’s exact test).Eyes underwent SO tamponade exhibited worse final BCVA than that with C3F8 in the primary PPV(P=0.026,Fisher’s exact test).CONCLUSION:Traumatic endophthalmitis in children is generally more severe and associated with more complicated surgical procedures.Most patients have retinal injury need multiple operations and the final BCVA is poor.Prevention of ocular trauma,especially i 展开更多
关键词 PEDIATRIC PENETRATING eye injury TRAUMATIC ENDOPHTHALMITIS PARS plana VITRECTOMY
Ocular injuries,attention deficit and hyperactivity disorder,and maternal anxiety/depression levels:Is there a link? 认领
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作者 Helin Yilmaz Kafali Elif Demirkilinc Biler +1 位作者 Melis Palamar Burcu Ozbaran 《中华创伤杂志:英文版》 CAS CSCD 2020年第2期71-77,共7页
Purpose:Given the increased risk of accidents in patients with attention deficit and hyperactivity dis-order(ADHD)or maternal anxiety/depression,we aimed to investigate the frequency of the two diseases in children wi... Purpose:Given the increased risk of accidents in patients with attention deficit and hyperactivity dis-order(ADHD)or maternal anxiety/depression,we aimed to investigate the frequency of the two diseases in children with penetrating eye injury(PEI).Methods:Altogether 79 children,39 with PEIs and 40 healthy individuals(control group),aged 5-15 years,underwent a complete ophthalmologic examination.Afterwards,schedule for affective disorders and schizophrenia for school-aged children was conducted to assess the psychiatric diagnosis of all children.Turgay diagnostic and statistical manual of mental disorders(DSM-Ⅳ)-based child and adolescent behavior disorders screening and rating scale(T-DSM-Ⅳ-S)was flled by parents to evaluate the severity of ADHD symptoms.The depression and anxiety levels of mothers of each group were evaluated by two self-report measures:the Beck depression scale and the state-trait anxiety inventory(STAI),respectively.Data were analyzed by IBM SPSS version 22.0.The Chi-square and Fisher's exact test were used to determine whether there is a significant difference between qualitative variables while independent sample t and Mann-Whitney U tests to compare quantitative variables.Results:The only diagnostic difference was a significantly higher frequency of ADHD among patients with PEIs(48.7%in PEI vs.17.5%in control group,χ^2=7.359,p=0.007).The total scores of the T-DSM-Ⅳ-S(attention subscale U=418.000,p=0.006;hyperactivity subscale U=472.000,p=0.022)and maternal state-trait anxiety inventory(maternal STAI-state U=243.00,p=0.003;maternal STAl-trait U=298.000,p=0.021)were significantly higher in the PEI group than in control group.In logistic regression,children with PEI had a tendency to have a 3.5-fold increased risk for ADHD(OR=3.538,CI=0.960-13.039,p=0.058).Conclusion:ADHD was detected almost 1 in 2 children with PEls.Besides,the maternal anxiety level was significantly higher in the PEI group than in the control group.This association should be further explored via a future prospective 展开更多
关键词 Attention deficit and hyperactivity disorder CHILD Ocular trauma Penetrating eye injury Maternal anxiety
Anterior segment optical coherence tomography-guided transepithelial phototherapeutic keratectomy for scarring of the central cornea following pterygium excision 认领
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作者 Sloan W.Rush Ryan B.Rush 《国际眼科杂志:英文版》 SCIE CAS 2020年第3期503-508,共6页
AIM:To report the outcomes of patients undergoing anterior segment optical coherence tomography-guided transepithelial phototherapeutic keratectomy(ASOCT T-PTK)for central corneal scarring after pterygium excision.MET... AIM:To report the outcomes of patients undergoing anterior segment optical coherence tomography-guided transepithelial phototherapeutic keratectomy(ASOCT T-PTK)for central corneal scarring after pterygium excision.METHODS:The charts of 11 eyes of 10 patients that underwent ASOCT T-PTK following excision of visual axisinvolving pterygia were retrospectively reviewed from a single private practice institution.The visual outcomes and corneal topographic findings were evaluated 4±1 mo after pterygium excision and 6±2 mo after transepithelial phototherapeutic keratectomy(T-PTK).RESULTS:All 11 eyes tolerated both the pterygium excision and T-PTK procedure well without any significant intraoperative or postoperative complications.Uncorrected distance visual acuity(UDVA)and manifest refraction corrected distance visual acuity(CDVA)improved after pterygium excision(P=0.03 and P=0.05,respectively).The UDVA and CDVA improved further after T-PTK(P=0.004 and P=0.002,respectively).The topographic surface asymmetry index,topographic surface regularity index,and topographic projected visual acuity significantly improved after T-PTK(P=0.0092,P=0.0022,and P=0.0002,respectively).None of the subjects lost any lines of CDVA,developed recurrence of pterygia or required keratoplasty during the postoperative period.CONCLUSION:ASOCT T-PTK can provide excellent visual and anatomic outcomes in patients with central corneal scarring after excision of visual axis-involving pterygia. 展开更多
关键词 pediatric PENETRATING eye injury traumatic ENDOPHTHALMITIS PARS plana VITRECTOMY
GFAP expression in the optic nerve and increased H2S generation in the integration centers of the rainbow trout (Oncorhynchus mykiss) brain after unilateral eye injury 认领
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作者 Evgeniya V.Pushchina Anatoly A.Varaksin +1 位作者 Dmitry K.Obukhov Igor M.Prudnikov 《中国神经再生研究:英文版》 SCIE CAS CSCD 2020年第10期1867-1886,共20页
Hydrogen sulfide(H2S)is considered as a protective factor against cardiovascular disorders.However,there are few reports on the effects of H2S in the central nervous system during stress or injury.Previous studies on ... Hydrogen sulfide(H2S)is considered as a protective factor against cardiovascular disorders.However,there are few reports on the effects of H2S in the central nervous system during stress or injury.Previous studies on goldfish have shown that astrocytic response occurs in the damaged and contralateral optic nerves.Glial fibrillary acidic protein(GFAP)concentration in the optic nerves of rainbow trout has not been measured previously.This study further characterized the astrocytic response in the optic nerve and the brain of a rainbow trout(Oncorhynchus mykiss)after unilateral eye injury and estimated the amount of H2S-producing enzyme cystathionineβ-synthase(CBS)in the brain of the rainbow trout.Within 1 week after unilateral eye injury,a protein band corresponding to a molecular weight of 50 kDa was identified in the ipsi-and contralateral optic nerves of the rainbow trout.The concentration of GFAP in the injured optic nerve increased compared to the protein concentration on the contralateral side.The results of a quantitative analysis of GFAP+cell distribution in the contralateral optic nerve showed the largest number of GFAP+cells and fibers in the optic nerve head.In the damaged optic nerve,patterns of GFAP+cell migration and large GFAP+bipolar activated astrocytes were detected at 1 week after unilateral eye injury.The study of H2S-producing system after unilateral eye injury in the rainbow trout was conducted using enzyme-linked immunosorbent assay,western blot analysis,and immunohistochemistry of polyclonal antibodies again st CBS in the integrative centers of the brain:telencephalon,optic tectum,and cerebellum.Enzyme-linked immunosorbent assay results showed a 1.7-fold increase in CBS expression in the rainbow trout brain at 1 week after unilateral eye injury compared with that in intact animals.In the ventricular and subventricular regions of the rainbow trout telencephalon,CBS+radial glia and neuroepithelial cells were identified.After unilateral eye injury,the number of CBS+neuroepithelial cells in the 展开更多
关键词 astrocyte-like CELLS GLIAL fibrillary acidic protein hydrogen sulfide NEUROEPITHELIAL CELLS neuroprotection radial GLIAL CELLS rainbow trout(Oncorhynchus mykiss) reactive oxygen species UNILATERAL eye injury
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荆门市某化工厂工人眼化学伤临床分析 认领
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作者 万金兰 康斌 《职业与健康》 CAS 2019年第11期1570-1572,共3页
目的探讨荆门市某化工厂工人眼化学伤的发病特点及防治策略。方法回顾性分析2014年1月—2018年1月到荆门市中医医院眼科就诊的荆门市某化工厂工人眼化学伤132例(217眼)。分析其病情分级、眼化学伤性质、就诊时间、现场冲洗时间以及不同... 目的探讨荆门市某化工厂工人眼化学伤的发病特点及防治策略。方法回顾性分析2014年1月—2018年1月到荆门市中医医院眼科就诊的荆门市某化工厂工人眼化学伤132例(217眼)。分析其病情分级、眼化学伤性质、就诊时间、现场冲洗时间以及不同并发症的发生等特点,分析防治策略。结果眼化学伤中轻度126眼(占58.1%),中度78眼(占35.9%),重度13眼(占6%);碱烧伤118眼(占54.4%),酸烧伤99眼(占45.6%);化学伤发生后未在1 h内就诊者并发症多见;眼部并发症的发生与患者现场冲洗时间的时长无明显关系。结论荆门市某化工厂工人眼化学伤的发病具有自身特点,加强安全宣传教育、化学伤后正确冲洗和及时就诊是预防并发症发生的有效措施。 展开更多
关键词 化学伤 工人 流行病学
高原地区部队眼外伤临床分析 认领
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作者 张媛 罗涛 +8 位作者 张衡頔 谌杨 任意明 吴燕 杨黠 胡峥 刘恒 蒋炜 韩非 《第二军医大学学报》 CAS CSCD 北大核心 2019年第12期1373-1377,共5页
目的探索和分析西藏驻军眼外伤的临床特点、诊治过程和预后,提出救治改进建议。方法收集2011年1月1日至2017年12月31日保障西藏地区军人的6家医院收治的眼外伤军人的病例资料,包括人口统计学信息、致伤原因、就医时间、入院和出院时视力... 目的探索和分析西藏驻军眼外伤的临床特点、诊治过程和预后,提出救治改进建议。方法收集2011年1月1日至2017年12月31日保障西藏地区军人的6家医院收治的眼外伤军人的病例资料,包括人口统计学信息、致伤原因、就医时间、入院和出院时视力等,并与全军其他医院收治的军人眼外伤资料进行比较。结果共纳入112例(116眼)眼外伤患者,男110例、女2例;机械性眼外伤111例(114眼),占99.11%(98.28%);55例(49.11%)在训练场所受伤,35例(31.25%)在休闲场所受伤,22例(19.64%)在工作场所受伤。39例(34.82%)受伤3 d后才到达西藏军区各中心医院或总医院就诊,24 h内就诊率(41.07%,46/112)低于济南军区总医院(82.37%,271/329)和全军全训部队(89.73%,131/146)的数据(P均<0.01)。70眼出院视力较入院视力提高,占有视力记录(92眼)的76.09%,其中低视力和单眼盲共33眼(35.87%,33/92)。与济南军区总医院和全军全训部队收治的军人眼外伤比较,低视力[29.35%(27/92)vs 8.03%(31/386)、6.16%(9/146)]和单眼盲[6.52%(6/92)vs 2.07%(8/386)、0.68%(1/146)]占比均较高(P均<0.05);而与15家军队三甲医院数据[10.23%(79/772)、15.28%(118/772)]相比,低视力占比较高,单眼盲占比较低,差异均有统计学意义(P均<0.05)。结论西藏地区军人眼外伤以机械性眼外伤为主;在训练场所眼外伤发生最多,可能与高原缺氧有关;低视力和单眼盲的伤眼较多。有必要进一步提高西藏军队医院眼外伤救治能力和西藏地区伤员后送能力。 展开更多
关键词 眼外伤 军事人员 高原地区 西藏 就诊时间
全身麻醉非眼科手术患者术后发生眼损伤2例报告及文献复习 认领
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作者 张宁 朴美花 +2 位作者 王美堃 刘楠 冯春生 《吉林大学学报:医学版》 CAS CSCD 北大核心 2019年第1期156-159,共4页
目的:探讨全身麻醉非眼科手术患者发生眼损伤的病因和危险因素,为其临床预防和诊治提供参考。方法:分析2例全身麻醉非眼科手术后发生眼损伤患者的临床资料,并复习相关文献。结果:1例青年女性患者于全身麻醉头低位下行“腹腔镜下全子宫... 目的:探讨全身麻醉非眼科手术患者发生眼损伤的病因和危险因素,为其临床预防和诊治提供参考。方法:分析2例全身麻醉非眼科手术后发生眼损伤患者的临床资料,并复习相关文献。结果:1例青年女性患者于全身麻醉头低位下行“腹腔镜下全子宫切除术”,术中眼睑自然闭合,无眼保护措施,术后发生角膜擦伤,对症治疗后完全康复。1例老年男性患者于全身麻醉俯卧位下行“颈椎后路椎管扩大成形术”,术后发生缺血性视神经病变(ION),对症治疗后视力部分恢复。结论:角膜擦伤是全身麻醉相关的最常见的眼科并发症,患者大多预后良好。术后视力丧失(POVL)是最严重的并发症,其具体发病原因及机制尚未完全阐明,缺乏有效治疗手段,重在预防。 展开更多
关键词 全身麻醉 眼损伤 角膜擦伤 术后视力丧失 缺血性视神经病变 视网膜中央动脉阻塞
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Evidence for a Potential “Knee-Eye-Brain Axis” Involved in Mobility and Navigation Control: Knee Injury and Obesity May Disrupt Axis Integrity 认领
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作者 David A. Hart 《生物医学工程(英文)》 2018年第3期37-44,共8页
Humans depend on the coordinated activity of their lower extremities for mobility, an essential feature of Homo sapiens. In addition, they use vision to use this mobility to successfully navigate through their environ... Humans depend on the coordinated activity of their lower extremities for mobility, an essential feature of Homo sapiens. In addition, they use vision to use this mobility to successfully navigate through their environment. During development, mobility appears to mature first, and then it is coordinated with navigation. Thus, the two, mobility and navigation are likely interdependent in function. Recent studies have indicated that compromising the integrity of the knee, a central element of the lower extremity motion segment, can lead to molecular alterations in both the cornea including the central cornea where light passes, as well as the interior of the eye (the vitreous humor). Not all insults to the knee lead to reproducible alterations in the eye, indicating some specificity in the response. In addition, it was recently reported that alterations to the cells in the vitreous humor occur following dietary induction of obesity in a rat model. As humans with obesity, as well as arthritis of the knee are at risk for ocular involvement and exhibit altered gait characteristics, the clinical and preclinical data raise the possibility of a “knee-eye-brain axis” to control or regulate mobility and navigation. Better delineation of such an axis could have implications for variations in control during maturation, and well as during aging when vision and mobility can be compromised, with increased risk for serious falls and failure to successfully navigate the environment. 展开更多
关键词 KNEE Injury Eye CORNEA VITREOUS HUMOR VITREOUS HUMOR Cells OBESITY
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Clinical effect of deproteinized calfblood extract eye gel for corneal epithelial defect 认领
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作者 Chungang Zhang Mingxia Wei 《临床病例讨论杂志(英文版)》 2018年第2期7-10,共4页
Objective: To observe the clinical effect of 20% deproteinized calfblood extract eye gel on the treatment of mechanical injury to corneal epithelium. Methods: 120 cases of patients with corneal epithelial defect cause... Objective: To observe the clinical effect of 20% deproteinized calfblood extract eye gel on the treatment of mechanical injury to corneal epithelium. Methods: 120 cases of patients with corneal epithelial defect caused by mechanical injury were selected and randomly divided into observation group (60 eyes, deproteinized calfblood extract eye gel in use) and control group (0.3% ofloxacin eye drops in use). Both two groups of patients were given eye gel or eye drops 4 times per day. Moreover, the two groups of eye symptoms and corneal epithelial healing were observed on the 3rd day and the 7th day after drug usage respectively. Results: The effective rates of 20% deproteinized calfblood extract eye gel on the treatment of mechanical corneal epithelial defect on the 3rd day and the 7th day were 78.33% and 93.33% respectively. Meanwhile, the effective rates of 0.3% ofloxacin eye drops were 55.00% and 71.67%. The difference in the comparison of the effective rate between two groups was of statistical significance (p < .05). Conclusions: 20% deproteinized calfblood extract eye gel can significantly promote the healing of corneal epithelium in a short time, and it is worthy to be widely applied clinically. 展开更多
关键词 Deproteinized calfblood EXTRACT eye GEL CORNEAL epitheliums MECHANICAL INJURY
添加右美托咪定的罗哌卡因治疗纹眼线致角膜损伤的效果 认领 被引量:2
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作者 张振坡 杨倩倩 刘德成 《中华眼外伤职业眼病杂志》 2018年第5期389-391,共3页
目的观察添加右美托咪定的罗哌卡因球结膜下注射治疗因纹眼线所致角膜损伤的临床效果。方法对42例(84眼)纹眼线致角膜损伤者,用0.75%罗哌卡因与右美托咪定混合液球结膜下注射进行治疗,观察其效果。结果48h内治愈者62眼,占73.81... 目的观察添加右美托咪定的罗哌卡因球结膜下注射治疗因纹眼线所致角膜损伤的临床效果。方法对42例(84眼)纹眼线致角膜损伤者,用0.75%罗哌卡因与右美托咪定混合液球结膜下注射进行治疗,观察其效果。结果48h内治愈者62眼,占73.81%;49~72h治愈者22眼,占26.19%。视力均未受影响,球结膜混合充血消失,角膜上皮完整修复愈合,角膜荧光素染色阴性。未出现并发症。结论罗哌卡因右美托咪定治疗纹眼线致角膜损伤效果良好。 展开更多
关键词 右美托咪定 罗哌卡因 纹眼线术 角膜损伤 治疗
严重眼外伤中瞳孔成形手术的病例研究 认领 被引量:1
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作者 李炳震 封康 马志中 《中国实用眼科杂志》 2017年第7期687-690,共4页
目的分析严重眼外伤患者中瞳孔成形手术的应用现状,并探讨其在防止发生硅油前房异位中的作用。方法临床病例系列研究。对2013年12月31日在眼外伤玻璃体手术研究(eye injury vitrectomy study,EIVS)数据库中选取伴虹膜缺损的严重眼... 目的分析严重眼外伤患者中瞳孔成形手术的应用现状,并探讨其在防止发生硅油前房异位中的作用。方法临床病例系列研究。对2013年12月31日在眼外伤玻璃体手术研究(eye injury vitrectomy study,EIVS)数据库中选取伴虹膜缺损的严重眼外伤病例(245例),分析瞳孔成形手术构成比,并比较未瞳孔成形组与瞳孔成形组硅油前房异位发生率的差异。采用,检验。结果在EIVS数据库1377例严重眼外伤病例中,虹膜缺损245例(17.8%),其中瞳孔成形手术76例(31.0%)。在128例伴虹膜缺损的硅油眼中,未瞳孔成形组发生硅油前房异位14例(16.3%),瞳孔成形组发生1例(2.4%),二者构成比差异具有统计学意义(x^2=5.269,P=0.021)。结论对于伴有虹膜缺损的严重眼外伤,瞳孔成形手术率有待进一步提高。对于伴有虹膜缺损的硅油眼患者,瞳孔成形手术是减少发生硅油前房异位的有效措施。 展开更多
关键词 眼外伤 瞳孔成形术 硅油眼 并发症
Epidemiology of children and adolescent eye injuries in British Columbia 认领
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作者 Ediriweera Desapriya Nayomi Gomes +6 位作者 Kavindra Ratnaweera Vahid Mehrnoush Eshani Fernando Ricky Jhauj Abdulwahab Al-Isa Parisa Khoshpouri Nima Naghshgar 《世界眼科杂志》 2017年第1期1-6,共6页
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眼外伤致LASIK术后角膜裂伤及角膜瓣移位一例 认领 被引量:1
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作者 沈志新 翁文庆 高恩芳 《中华眼外伤职业眼病杂志》 2017年第7期552-553,共2页
患者女性,27岁,护士,因右眼铅笔戳伤致视物模糊2h于2014年5月13日来我院就诊。患者于14个月前曾在我院行双眼LASIK手术,角膜瓣厚度:双眼均为140μm。术后1周查裸眼远视力:右眼,0.9;左眼,0.7。双眼结膜无充血,角膜瓣在位透... 患者女性,27岁,护士,因右眼铅笔戳伤致视物模糊2h于2014年5月13日来我院就诊。患者于14个月前曾在我院行双眼LASIK手术,角膜瓣厚度:双眼均为140μm。术后1周查裸眼远视力:右眼,0.9;左眼,0.7。双眼结膜无充血,角膜瓣在位透明,余均正常。 展开更多
关键词 角膜瓣 移位 眼外伤 LASIK
开放性眼外伤无光感眼玻璃体切除术的临床效果 认领 被引量:4
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作者 赵玉萍 李景波 《中华眼外伤职业眼病杂志》 2017年第7期523-525,共3页
目的评价玻璃体切除术治疗开放性眼外伤无光感眼的临床效果。方法开放性眼外伤无光感者24例(24眼),于1期缝合术后14d行玻璃体切除术联合硅油填充。术后随访6~12个月。结果本组24例中19例视网膜解剖复位,其中3例视力手动,4例光感... 目的评价玻璃体切除术治疗开放性眼外伤无光感眼的临床效果。方法开放性眼外伤无光感者24例(24眼),于1期缝合术后14d行玻璃体切除术联合硅油填充。术后随访6~12个月。结果本组24例中19例视网膜解剖复位,其中3例视力手动,4例光感。结论玻璃体切除术治疗开放性眼外伤无光感眼的临床效果显著,部分患者能恢复一定的视力。 展开更多
关键词 玻璃体切除术 眼外伤 开放性 无光感眼 效果 临床
36例外伤性眼内炎临床分析 认领 被引量:2
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作者 黄倩 袁容娣 陈小璠 《创伤外科杂志》 2017年第2期111-113,共3页
目的探讨外伤性眼内炎的临床治疗效果。方法回顾性分析笔者医院2011年1月-2015年10月收治的外伤性眼内炎患者36例36眼患者眼外伤特征、病原微生物情况、治疗方法、疗效及术后并发症情况,其中男性34例34眼,女性2例2眼,年龄3-72岁,平均46.... 目的探讨外伤性眼内炎的临床治疗效果。方法回顾性分析笔者医院2011年1月-2015年10月收治的外伤性眼内炎患者36例36眼患者眼外伤特征、病原微生物情况、治疗方法、疗效及术后并发症情况,其中男性34例34眼,女性2例2眼,年龄3-72岁,平均46.2岁。结果随访1-36个月,平均9.8个月。36例36眼外伤性眼内炎患者中22例22眼有球内异物,其中25例25眼患者行玻璃体切割术,10例10眼行清创缝合联合玻璃体腔注药术,1例1眼患者行眼内容物剜除术。经治疗后患者视力有不同程度提高,脱盲(最佳矫正视力≥0.05)10眼,占27.8%。结论早期诊断、及时进行玻璃体腔注药或玻璃体切割手术能有效挽救外伤性眼内炎患者的视功能。 展开更多
关键词 眼外伤 眼内炎 玻璃体切除术
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马来西亚西部小儿眼外伤研究(英文) 认领 被引量:1
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作者 Fiona Chew Lee Min Fazilawati Qamaruddin 《国际眼科杂志》 CAS 2016年第7期1212-1215,共4页
目的:调查5a期间就诊于马来西亚西部三级转诊中心的小儿眼外伤患者的视力结果。方法:回顾性研究。对所有2009-01/2013-12就诊于急诊创伤科的连续患者进行筛检,选取年龄在15岁以下的眼外伤患者纳入研究对象。排除随访患者。收集患者人... 目的:调查5a期间就诊于马来西亚西部三级转诊中心的小儿眼外伤患者的视力结果。方法:回顾性研究。对所有2009-01/2013-12就诊于急诊创伤科的连续患者进行筛检,选取年龄在15岁以下的眼外伤患者纳入研究对象。排除随访患者。收集患者人口统计学数据、既往治疗和眼部病史资料。详细记录眼外伤情况,治疗和疾病发展情况。结果:小儿眼外伤的患病率为每年17.6/100000。其中男性患者占69.5%(296/426例)。患者的平均年龄为6.08±2.24岁。家用工具(19.7%)和摔伤(19.7%)是致眼外伤最常见的原因。多数患者(79.9%)救诊时的视力≥6/12。眼前节(93.9%)最容易受伤,22.8%的患者需要手术治疗。相对性瞳孔传入障碍与闭合性眼球损伤程度(P=0.001)及不良视力预后(P=0.001)相关。大多数患者(92.7%)的最终视力≥6/12。结论:须提高对小儿眼外伤的预防意识并及时进行治疗,以确保患者视力的最大程度恢复。 展开更多
关键词 小儿眼外伤 眼外伤 儿童 眼损伤
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紫外线辐射对眼的损伤效应 认领 被引量:11
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作者 丁辰 蔡建明 《中华放射医学与防护杂志》 CAS CSCD 北大核心 2016年第2期149-153,共5页
随着臭氧层的不断破坏以及紫外线在各个行业中应用的增加,紫外线辐射对航空航天人员、高原驻军和居民、强紫外线地区户外活动人员眼睛的影响日益受到重视.当眼睛持续暴露于紫外线下时,紫外线对眼结膜、角膜、眼晶状体及视网膜可造成不... 随着臭氧层的不断破坏以及紫外线在各个行业中应用的增加,紫外线辐射对航空航天人员、高原驻军和居民、强紫外线地区户外活动人员眼睛的影响日益受到重视.当眼睛持续暴露于紫外线下时,紫外线对眼结膜、角膜、眼晶状体及视网膜可造成不同程度的损害,与皮质性白内障、角膜炎、眼部恶性肿瘤、气候性角膜滴状病变、翼状胬肉等许多眼科疾病具有明显的相关性. 展开更多
关键词 紫外线 眼睛 损伤 辐射防护
春节期间眼外伤流行病学特征及临床分析 认领 被引量:5
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作者 刘京婧 张凤妍 杜珊珊 《中华眼外伤职业眼病杂志》 2016年第2期105-109,共5页
目的研究本地区2015年春节期间眼外伤的流行病学特征。方法收集我院2015年春节期间的眼外伤连续病例124例(126眼)的临床资料,记录其一般情况、致病原因、临床表现、急救方法、术前术后视力及就诊时间,并结合该段时间人们的日常活动... 目的研究本地区2015年春节期间眼外伤的流行病学特征。方法收集我院2015年春节期间的眼外伤连续病例124例(126眼)的临床资料,记录其一般情况、致病原因、临床表现、急救方法、术前术后视力及就诊时间,并结合该段时间人们的日常活动,分析2015年春节期间各时段眼外伤的发病流行趋势。结果在124例眼外伤中男女性别比为7.85:1。年龄最小者1.5岁,最大者67岁,平均年龄(21.6±18.5)岁,多发年龄4~12岁、19~60岁。致伤原因中鞭炮炸伤最多,有68眼(53.97%),其次为儿童玩具致伤19眼(15.08%),摔伤11眼(8.73%)。眼球破裂伤为主要眼外伤临床类型,有70眼(56.56%)。农历腊月三十日、正月初一和正月十五眼外伤人数呈爆发性增长,其中正月十五当天最多,有20例,占统计时段全部受伤病例的16.13%。视力视力〈0.05(盲)者,出院较人院时患者少,两者差异有意义;视力≥0.05且〈0.3(低视力)者,出院时较多,两者差异有意义;视力≥0.3者,出院较多,两者差异无意义。41眼人院视力〉0.1(占32.54%);66眼出院时视力〉0.1(占52.38%)结论眼外伤是一类严重影响视功能的眼科急症和重症。春节期间,眼外伤集中爆发,其致病原因以鞭炮炸伤最多,给人们带来严重的健康威胁,建议全面禁止燃放烟花爆竹,保护环境也保护眼睛。 展开更多
关键词 春节 眼损伤 流行病调查
基层医院机械性眼外伤的护理体会 认领
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作者 程琳 《中国社区医师》 2016年第10期171-172,共2页
目的:探讨基层医院机械性眼外伤的护理要点。方法:收治机械性眼外伤患者20例,分析临床资料。结果:针对性的护理干预后,患者均治愈出院。结论:积极抢救和护理可降低患者致盲率,提高患者生活质量。
关键词 眼外伤 护理干预 生活质量
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Surgeon-performed point-of-care ultrasound in severe eye trauma:Report of two cases 认领
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作者 Fikri M Abu-Zidan Korana Balac Chetana Anand Bhatia 《世界临床病例杂志》 2016年第10期344-350,共7页
The indications of point-of-care ultrasound(POCUS)in the management of multiple trauma patients have been expanding.Although computed tomography(CT)scan of the orbit remains the gold standard for imaging orbital traum... The indications of point-of-care ultrasound(POCUS)in the management of multiple trauma patients have been expanding.Although computed tomography(CT)scan of the orbit remains the gold standard for imaging orbital trauma,ultrasound is a quick,safe,and portable tool that can be performed bedside.Here we report two patients who had severe eye injuries with major visual impairment where surgeon-performed POCUS was very useful.One had a foreign body injury while the other had blunt trauma.POCUS was done using a linear probe under sterile conditions with minimum pressure on the eyes.Ultrasound showed a foreign body at the back of the left eye globe touching the eye globe in the first patient,and was normal in the second patient.Workup using CT scan,fundsocopy,optical coherence tomography,and magnetic resonance imaging of the orbits confirmed these findings.The first patient had vitreous and sub retinal haemorrhage and a full thickness macular hole of the left eye,while the second had traumatic optic neuropathy.POCUS gave accurate information concerning severe eye injuries.Trauma surgeons and emergency physicians should be trained in performing ocular ultrasound for eye injuries. 展开更多
关键词 Eye Injury TRAUMA POINT-OF-CARE ULTRASOUND
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