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Wysłany: Wto 11:10, 15 Mar 2011
Temat postu: Tory Burch Outlet Ocular trauma in children of sec
Ocular trauma in children of secondary glaucoma
2 years after February 1. Of which 7 fell as aphakia, vitreous removal vitreous herniation into the anterior chamber; 3 cases of vitreous,
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, lens and iris forward, very shallow anterior chamber. 5. Angle contusion type: 4 fall in this group, the occurrence of child injury 2 years after the January 1, anterior chamber angle microscope have different back and adhesion. (C) secondary glaucoma treatment: For children with hyphema, using topical application of 0o-5 Mu you peace of mind, El service acetazolamide,
Tory Burch Outlet
, intravenous mannitol, ineffective in the anterior chamber irrigation. Other types of secondary glaucoma with one or more anti-glaucoma surgery alone or in combination, including biting cut under the scleral flap, ciliary body through the heat, condensation ciliary body, ciliary body separation, lens extraction, anterior vitrectomy or combined with low beam after surgery when needed plus other anti-glaucoma drugs. Discharge, visual acuity unchanged in 28 (65), an increase of 15 cases (35)} IOP 2 .79 kPa9 cases (20.93) major complications in this group with low intraocular pressure (7 down). Discussion of traumatic incidence of secondary glaucoma few reports, we reported hospitalized children accounted for 6.6 ocular trauma in children. Ocular trauma in children with acute elevation of intraocular pressure in early secondary bleeding ago the main room, it is because the fresh blood clot, blood components phagocytic macrophages and the anterior chamber angle block homes due to haemosiderin. Delayed elevation of intraocular pressure can be found in a variety of reasons, this group of patients in the corner bruise, adhesion proliferation, crystal shift and vitreous shift, in which non-proliferation and adhesion of the vitreous crystals shift more common. Ocular trauma in children, especially in penetrating injuries, more leakage of intraocular fibrous tissue, often resulting in varying degrees of iris and pupil area before and after the adhesion of the film or closed machines, the formation of pupillary block, impede the flow of aqueous from the anterior chamber after the house , plus there is also adhesion and angle angle damage, secondary to intraocular pressure. Therefore, we should strengthen the prevention and treatment of injury after ocular trauma in children and after review, the children check the non-cooperation, but also often makes part of the intraocular pressure of eyes lost the opportunity to timely treatment. Ocular trauma in children in this group fell ill,
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, especially in penetrating injury of eyes, more serious injuries, poor visual acuity at admission, visual acuity improved after treatment was only 35, and most of IOP control rate was 62.79 Hyphema Some patients have eye surgery after repeated beyond the control of intraocular pressure. Clinical analysis of this article, we get the following control principles: ① contusion hyphema of eyes, intraocular pressure should be regularly measured, timely and correct treatment; no hyphema of eyes, anterior chamber angle should be checked for suspicious children to regular follow-up. ② For ocular injury of eyes, to avoid incarceration, neatly stitched,
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, sutured intraocular fibrous tissue as possible inhibition of exudate, reducing adhesions around the iris, pupil and latch closure, the incidence angle adhesion. ③ hyphema with secondary glaucoma than ideal, other types of glaucoma treatment is more difficult and requires using a variety of anti-glaucoma medications and surgery. Diffuse around the iris adhesions, closed yan pupil, lens dislocation and vitreous forward, etc., causing pupillary block, anterior vitrectomy may be taken sense of eyes can be taken to ciliary body cryotherapy.
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