頁籤選單縮合
題名 | 鈍外傷對角膜內皮細胞的影響 |
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作者姓名(中文) | 謝碧祥; 劉秀雯; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 31:4 1992.12[民81.12] |
頁次 | 頁13-18 |
分類號 | 416.711 |
關鍵詞 | 鈍外傷; 角膜內皮細胞傷害; Blunt ocular trauma; Corneal endothelium; |
語文 | 中文(Chinese) |
中文摘要 | 我們分析45位因鈍外傷而致前房出血住院的病人。其結果顯示,雖然絕 大多數都能恢復良好的視力,但62.2的受傷眼有明顯的隅角退縮;26.7的病人會有 短暫的眼壓升高現象。而45位病人中的23位病人,其角膜內皮細胞檢查結果,受 傷眼角膜內皮細胞密度,較未受傷眼低了13.8,而因BB彈而受傷的眼睛比對側眼 降低的幅度竟可高達68.7。 鈍外傷可造成非常厲害的角膜內皮細胞傷害及角膜水腫。角膜水腫多半能很快恢 復,但角膜內皮細胞的傷害,卻是我們所不能忽視的。 |
英文摘要 | There were 45 patients who were admitted towards due to traumatic hyphema from Jul., 1989 to Dec., 1991. We analyzed the age distribution of patients, the offending insults, the gonioscopic fin-dings after trauma, and the intraocular pressurechange during the period of follow-up. Most insults came from fighting in a confluict, sports or games. Angle recession was found in 62.2of the patients. 26.7 percent of the patients had tran-sient elevation of IOP, while 6.7 of the patients had prolonged IOP elevation for more than 2 weeks. Among the 45 patients, 23 were recruited for specular microscopy. The lesion eye had lower endothelial cell density by 13.8 as compared with the fellow eye. Trauma from the so-called BB pellets of air gun was more severer with marked corneal stromal edema and higher endothelial cell loss. Some could lose endothelial cell density up to 68.7. Most patients recovered well with clear corneas. But tlie possibility of corneal endothelial cell loss from blunt ocular trauma could not be neglected. |
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