眼外伤108例分析

眼由于结构精细 ,位置特殊 ,一旦遭受各种原因所致的外伤 ,往往会带来严重身心危害。为了更好地了解眼外伤的致伤原因 ,发生、发展及治疗转归 ,对我院 1999～ 2 0 0 2年眼外伤住院病例进行了回顾性总结及分析。1　临床资料1 1　一般情况　 10 8例 ,占总住院数 9 6 % ,其中男98例 ,女 10例 ;年龄 4～ 82岁。职业 :军人 5 1例(4 2 2 % ) ,其次为工人、农民、学生、干部、职员、儿童等。致伤原因 :工作训练 37例 (33 3% ) ,打架斗殴2 3例 (2 3 3% ) ,交通事故和体育锻炼各 10例(9 2 % ) ,爆竹、雷管、炸药炸伤各 6例 (5 5 % ) ,烧伤5例 (4 6…     

糖尿病视网膜病变的监测与控制

Objective To investigate the prevention from diabetic retinopathy (DR) for subjects with diabetes in community. Methods One hundred and seventy subjects with type-2 diabetes were were collected. All of them took the medicines for diabetes based on the dietary management and weight control. Ninety-four subjects received aspirin of 80 ～ 100 mg 1/day while 76 subjects hadn't take aspirin. The incidences of DR between two groups were compared. Results DR were found in 9.58% cases in the group with aspirin, significantly different from the group without aspirin, in which DR were found in 40.79% cases ( P ＜ 0.05 ). Conclusion Anti-platelet therapy with aspirin on the management of serum glucose can reduce the incidence of DR for subjects with diabetes in community.     

系统性红斑狼疮眼底病变

患者女性,19岁.发现面部出现红斑2年余,视力减退2个月余.有发热史,在内科行全身体检,确诊为系统性红斑狼疮(活动期).眼部检查:视力右眼为0.6,左眼为1.0;双眼外眼正常,前房、瞳孔均正常,晶状体透明;双眼底情况见精粹图片1和2.眼科诊断:系统性红斑狼疮眼底病变.     

高危阈值前和阈值病变早产儿视网膜病变激光光凝治疗疗效分析

目的 观察激光光凝治疗高危阈值前和阈值病变早产儿视网膜病变（ROP）的临床疗效和安全性。方法 临床检查确诊的97例ROP患儿186只眼纳入研究。其中,高危阈值病变88只眼,阈值病变98只眼。186只眼中,1区病变70只眼,2区病变116只眼。所有患儿均在全身麻醉下采用波长为810 nm的Iridis激光机经双目间接检眼镜输出进行激光光凝治疗。治疗后随访35～852 d,平均随访时间(316±274) d。观察病变完全消退和病变进展情况。结果 186只眼中,病变完全消退168只眼,占90.3%;出现局部纤维增生10只眼,占5.4%;进展为局限性视网膜脱离8只眼,占4.3%。高危阈值病变组88只眼中,病变完全消退84只眼,占95.5%;病变进展4只眼,占4.5%。阈值病变组98只眼中,病变完全消退84只眼,占85.7%;病变进展14只眼,占14.3%。两组病变完全消退率比较,差异有统计学意义（χ2=3.98,P＜0.05）。1区病变70只眼中,病变消退56只眼,占80.0%;病变进展14只眼,占20.0%。2区病变116只眼中,病变消退112只眼,占96.6%;病变进展4只眼,占3.4%。1区病变进展眼数明显高于2区病变进展眼数,差异有统计学意义（χ2=11.86,P＜0.01）。未观察到与治疗相关的并发症。结论激光光凝治疗高危阈值前和阈值病变ROP均有较好疗效,提前干预能减少其不良预后;无与治疗相关的并发症发生。     

早产儿视网膜病变的筛查与高危因素分析

目的 研究早产儿视网膜病变(ROP)发病情况及相关的危险因素,探讨其合理的筛查标准.方法 对出生体重≤2500g,胎龄≤37周患儿进行ROP筛查,并行相关因素分析.结果 共筛查275例符合条件的早产儿,发现ROP38例(13.82%);出生体重≤1500g组,～2000g组,～2500g组患病百分比有显著性差异(P<0.05);出生胎龄≤30周组,～32周组,≥33周组间ROP患病百分比有显著性差异(P<0.05);ROP早产儿的吸氧时间明显高于无ROP组(Z=5.292,P=0.000),需要机械辅助呼吸的早产儿发生ROP者较多(x2=30.597,P=0.000),多胎与单胎间发生ROP的差异无统计学意义(x2=0.748,P=0.387),ROP发病与出生胎龄、出生体重、吸氧时间、机械辅助呼口等因素相关.结论 出生体重越低,出生胎龄越小,吸氧时间较长,需要机械辅助呼吸的早产儿,ROP患病率越高.早产儿应及时检查眼底,尽早发现ROP.     

系统性红斑狼疮眼底病变

患者女性,19岁.发现面部出现红斑2年余,视力减退2个月余.有发热史,在内科行全身体检,确诊为系统性红斑狼疮(活动期).眼部检查:视力右眼为0.6,左眼为1.0;双眼外眼正常,前房、瞳孔均正常,晶状体透明;双眼底情况见精粹图片1和2.眼科诊断:系统性红斑狼疮眼底病变.     

系统性红斑狼疮眼底病变

患者女性,19岁.发现面部出现红斑2年余,视力减退2个月余.有发热史,在内科行全身体检,确诊为系统性红斑狼疮(活动期).眼部检查:视力右眼为0.6,左眼为1.0;双眼外眼正常,前房、瞳孔均正常,晶状体透明;双眼底情况见精粹图片1和2.眼科诊断:系统性红斑狼疮眼底病变.     

倍频Nd:YAG激光治疗早产儿视网膜病变疗效分析

Objective To analyze the treatment efficacy of frequency-doubled Nd-YAG laser indirect photocoagulation for retinopathy of prematurity (ROP). Methods The clinical records in 39 preterm infants (76 eyes) treated by 532nm frequency-doubled Nd-YAG laser were retrospectively analyzed. Various risk factors were compared between the patients with zone Ⅰ ROP and zone Ⅱ ROP. Results Seventy-six eyes with ROP were cured via the laser photocoagulafion with the curative rate 93.42%. The mean birth weight, gestational age in 16 infants of zone Ⅰ ROP was 1232±325g, 28.79±1.93 weeks, and the data above mentioned had no significant difference in comparison with the 23 infants with zone Ⅱ disease group (1333±264g,29.47±2.11 weeks) (P >0.05 ). The corrected gestational at the time of operation with zone Ⅰ disease (34.29±1.44weeks ) was less than that zone Ⅱ disease group ( 36.00±2.03weeks ) (P <0.05 ). The laser spots of zone Ⅰ ROP (1618±607 ) were much more than that of zone Ⅱ ROP (813±470 )(P<0.05).Conclusions Patients with zone Ⅰ ROP always progress quickly and show a poor outcome. Frequency-doubled Nd-YAG laser retinal photocoagulation is a safe and effective procedure for treatment of zone Ⅰ and Ⅱ of ROP.     

共同性外斜视79例手术疗效分析

目的:分析共同性外斜视的手术疗效及其可能的影响因素。方法:共同性外斜视手术患者79例进行随访观察,并对其术后眼位进行回顾性分析。结果:术后近期正位率82%,远期正位率为80%。结论:共同性外斜视的手术效果与手术原则和设计、患者的自身因素及术后反应等诸多因素有关。     

70例眼外伤的流行病学

对70例常见眼外伤的流行病学特点进行分析.眼外伤最常见原因为工伤、交通事故伤、斗殴伤等.