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題名 | 眼球摘出之原因--第二報= |
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作者 | 許紋銘; 張偉哲; 王安國; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 19950300 |
卷期 | 34:1 1995.03[民84.03] |
頁次 | 頁60-66 |
分類號 | 416.74 |
語文 | chi |
關鍵詞 | 眼球摘出; Enucleation; Evisceration; |
中文摘要 | 本文說台北榮總眼科近十三年(1981年~1993年)439個眼球摘除例予以統 計分析。其原因以眼球癆最多(33.4),其餘依次為絕對性青光眼(23.9),感染與炎 症(17.5),眼內腫瘤(11.2),無法修補之眼球破裂傷(8.0),前葡萄腫(5.7)及其他(2.3)。 比較本科於1961年至1980年之統計結果,外傷後即施予眼球摘除之比率有顯著減 少(第一報為17.5,本文為8.0),應為交感性眼炎治療觀念改變及顯微手術進步之 結果。因眼內炎或感染而施行眼球摘除之比率亦有明顯下降(第一報為21.3,本文 為17.5),這應歸功於診斷與治療方法之進步,包括玻璃體手術運用於治療眼內炎。 因眼內手術併發症導致眼球摘除者有45例(10.3),其中因白內障手術併發症而導 致者有24例(囊內晶體摘除手術併前房型人工水晶體植入16例),值得吾人警惕。 |
英文摘要 | The primary causes of 439 enucleations oreviscerations were reviewed and analyzed. They werecollected from the hospital charts of the VeteransGeneral Hospital-Taipei between 1981 and 1993. Phthisis buibi was the most important cause(31.4), followed by absolute glaucoma(23.9),infection/inflammation(17.5), intraocular tumor(11.2), irreparable eyeball rupture (8.0), anteriorstaphyloma (5.7) and miscellaneous (2.3). Thepeak age was between 50 and 70 years old. Male tofemale ratio was 2.46:1. Compared with our previous study (1982) andthis series, trauma-related group was still the most common cause of enucleation or evisceratioii.Irreparable eyeball perforation leading to enucleationor evisceration decreased in percentage (from 17.5 to 8). There were 45 cases of intraocular surgeryleading to enucleation. Among those, 24 cases werepost cataract extraction (sequelae of AC IOL im-plantation occurred in 16 cases), 10 glaucoma surgery,2 scleral buckle procedure, 7 vitreous surgery and 2keratoplasty. No enucleation for sympathetic ophthalmia wasdone in this series. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。