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对42例巩膜破裂伤的临床发病分析表明:主要致伤原因是钝挫伤(42.9％)和锐器伤(38.1％);71.4％的右眼和78.9％的左眼伤口位于鼻侧巩膜、而与致伤原因无相关;常见的合并损伤包括:前房出血(63.4％)、后葡萄膜及玻璃体脱出或玻璃体出血(52.3％)、晶体混浊或脱失(超过21.4％);眼球摘除9例(21.4％),其中7例为钝挫伤;预示眼球摘除的指征有:巩膜伤口达直肌止端后、长度≥10mm、伤后视力≤光感、前房出血、晶体脱位或脱失、玻璃体出血。
The clinical analysis of 42 cases of scleral rupture showed that the main causes of injury were blunt trauma (42.9%) and sharp injuries (38.1%); 71.4% of the right eye and 78.9% of the left eye wound were located on the nasal sclera, while (63.4%), posterior uveal and vitreous prolapse or vitreous hemorrhage (52.3%), crystal opacity or loss (more than 21.4%); enucleation in 9 cases (21.4%), of which 7 cases of blunt trauma; indications for enucleation indications are: scleral injury rectus abdominis length of ≥ 10mm, visual acuity ≤ light perception, anterior chamber bleeding, dislocation or loss of crystal, Vitreous hemorrhage.