Tweenty-seven cases (27 eyes) of retinal detachment and change of anterior chamber angle induced by contusional eye injuried were reported ,in which there were 23 eyes with obviously visible recession of the chamber angle, and 10 eyes with adherent lesions in the chamber angle, The position of retinal holes and detachment of retina as well as changes of anterior chamber angle in majority of cases located at the sites of trauma or the quadr ants opposite to them. The proportions of retinal detachment due to dialysis of ora sen'am or round retinal holes were found to be high in this series of cases,and the round holes were found in injured eyes with relatively long courses of ocalar trauma. Owing to the close interrelationship between rbegmatogenous retinal detachment and the anterior chamber angle lesions after the eontusional ocular injuries,it was suggested that the chamber angle changes might be used as one of the important referential indicators in diagnosis of traumatic retinal detachment induced by blunt ocular injuries. （Chin J Ocul Fundus Dis,1993,9:74-76）
摘要:目的:总结儿童眼球钝挫伤致前房积血的原因、临床表现以及最佳治疗方法。方法: 回顾分析四川大学华西医院2007年9月~2008年9月收治的眼球钝挫伤致前房积血23例的治疗:(1)半卧位休息;(2)双眼包扎或不包扎;(3)止血;(4)手术治疗。 结果: Ⅰ、Ⅱ级前房积血吸收快,出现继发性出血者常需要采取手术治疗,视功能恢复缓慢。结论: 早期积极恰当治疗,可减少继发性青光眼、角膜血染等并发症。Abstract: Objective: To summarize the reasons of children hyphema caused by blunt, clinical manifestations, as well as the best method of treatment. Methods: analysing the 23 cases history of eye hyphema from September 2007 to September 2008 in West China Hospital of Sichuan University caused by blunt. The treatments were: (1) semisupine rest; (2) eyes bandaged; (3) to use hemostatic medicine; (4) surgery. Results: Hyphema in Ⅰand Ⅱ class could be absorbed fastly.Secondary hemorrhage often need to be taken for surgical treatment, depending on the slow recovery of vision. Conclusion: Early appropriate and positive treatment can reduce secondary glaucoma, corneal complications such as blood.