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目的:探讨儿童眼球开放伤的发生原因;频率;严重程度;治疗;视力恢复及预防。方法:本研究包括15岁以下儿童眼球开放伤。使用裂隙灯检查角膜及巩膜裂伤,前房积血,虹膜脱出等。部分病例使用裂隙灯联合90D眼底镜检查眼底。经必要的检查后行急诊手术。结果:注册的43例(55%)儿童中,男占67%,女占33%。致伤物为玻璃,铅笔,木棍等。致伤部位为角膜占62.7%,巩膜占25.6%,角巩膜缘占11.7%。初次就诊伤眼视力6/60以上占32.5%,6/24以上占9.3%,6/12以上占2.3%。37.2%病例为光感。36例手术病例中有29例有术后随访。10.4%病例的最终视力为3/60,24.2%病例的最终视力为6/60,17.2%病例的最终视力为6/24。34.4%的病例的最终视力为光感。10.4%的病例发生眼球萎缩。结论:眼外伤是儿童人群中视力丧失的一个主要原因。在家庭及户外活动中采用必要的预防措施至关重要。
Objective: To investigate the causes of open eye injury in children; frequency; severity; treatment; visual acuity and prevention. Methods: This study included open eye injuries in children under 15 years of age. Slit lamp examination of corneal and scleral laceration, anterior chamber hemorrhage, iris prolapse and so on. In some cases the use of slit lamp combined 90D fundus examination fundus. After the necessary examination emergency surgery. Results: Among 43 registered children (55%), 67% were male and 33% were female. Injury to glass, pencil, wooden sticks and so on. Injured sites accounted for 62.7% of the cornea, sclera 25.6%, 11.7% of the limbal sclera. The first visit to the injured eye visual acuity 6/60 or more accounted for 32.5%, 6/24 or more accounted for 9.3%, 6/12 or more accounted for 2.3%. 37.2% cases of light perception. Twenty-nine of 36 surgical procedures were followed up. The final visual acuity was 10.4% in 10.4%, the final visual acuity was 6/60 in 24.2% of cases, and the final visual acuity was 6 / 24.34% in 17.2% of cases. The final visual acuity of the cases was light perception. Ocular atrophy occurred in 10.4% of cases. Conclusion: Eye trauma is a major cause of vision loss in children. It is important that the necessary precautions are taken at home and outdoor activities.