眼球打撲症における眼底後極部病変の検討（網膜振盪症と脈絡膜破裂の螢光眼底像）

Posterior fundus changes following ocular concussion:Fluorescein angiographic studies on retinal opacity and choroidal rupture

緒　言

　教室の外傷クリニックでは眼球打撲症について眼圧，隅角の変化，眼底の変化など種々の面より検討を加えて来た^1〜3）。

　眼球打撲に起因して，特に視機能に障害をきたす眼底後極部病変の諸相を解析することは予後を判断するために極めて重要な事項の一つであると考え，今回著者らは過去2年6カ月間に経験した眼球打撲症（405症例）のうち，特に網膜浮腫，および脈絡膜破裂の症例を中心に検討した。

Posterior fundus changes occurred in 22 percent (88 cases) of 405 cases of blunt ocular trauma during the past two and a half years in our clinic, and these cases were studied fluorescence angiographically.

The main purpose of this report is to know the visual prognosis in cases with retinal edema and choroidal rupture fluorescence angiographically.

The findings obtained were as follows:

1. According to fluorescence angiographic find-ings, retinal edema after blunt trauma may be classified into slight and severe types, the criteria being very important to know the clinical pro-gnosis.