開放性眼外傷の検討

Review of open-globe injuries

要約　目的：開放性眼外傷の自験例の報告。対象：過去3年間に当科で加療した眼外傷36例36眼を対象とし，診療録の記述を解析した。結果：36例の年齢は0～91歳，平均48歳であった。眼球破裂16眼（45％），裂傷12眼（33％），眼内異物7眼（19％），二重穿孔1眼（3％）で，平均年齢はそれぞれ58歳，30歳，53歳，50歳であった。受傷部位として，眼球破裂では強膜と強角膜が，裂傷と眼内異物では角膜が多かった。視力の転帰は眼球破裂と裂傷で不良例が多く，眼内異物と二重穿孔では良好例が多かった。結論：開放性眼外傷では，若年者に裂傷が多かった。視力転帰は眼内異物と二重穿孔例で比較的良好であった。

Abstract.　Background：To present a review of open-globe injury. Cases：This retrospective study was made on 36 eyes of 36 cases who were treated for open-globe injury by us during the past 3 years. Results：The age ranged from zero to 91 years, average 48 years. There were 16 eyes of eyeglobe rupture, 12 eyes of penetrating trauma, 7 eyes of intraocular foreign body, and one case of double perforation. The age averaged 58, 30, 53 and 50 years respectively. Cornea and sclera were mainly involved in eyeball rupture. Cornea was the main site of lesion in penetrating trauma and intraocular foreign body. Visual outcome was poor in general in cases of eyeglobe or simple rupture. Conclusion：Penetrating trauma was more frequent in persons of younger age. Visual outcome was good in general in intraocular foreign body and double perforation.