Đánh giá tình trạng tăng nhãn áp trên bệnh nhân chấn thương nhãn cầu kín tại bệnh viện Chợ Rẫy

Purposes: - To analyze the epidemiology of ocular hypertension in patients with closed global injuries; - To identify the main causes of ocular hypertension in patients with dosed global injuries; Subjects and methodology: Subjects: patients with ocular hypertension after closed global Injuries treated at Cho Ray Hospital from 01/01/2011 to 31/12/2012; Methodology: Longitudinal, clinical trials, a series of cases, without control, followed up for 12 months; Results: - There were 56 eligible patients, male: 45 (45 (80,3 percent), female: 11 (19,7 percent). Patients were usually In the working ages and are socially active, with 87,5 percent from 18 to 60. Accidents at work were the most common cause at 28,6 percent, followed by traffic accidents at 19,6 percent and leisure-related accidents at 16,1 percent. At the time of admission, 40 patients had the acuity of 1/10 (71,5 percent). The ocular pressure values of the subjects were mostly or = 30 mmHg (55,3 percent), among which 10,7 percent were or = 35 mmHg. 42,9 percent of patients had intraocular hemorrhage, among whom 25,0 percent had anterior chamber hemorrhage, 12,5 percent had vitreous hemorrhage, and 5,4 percent had hemorrhage at both sites. 48,2 percent of patients had lui g6c tien phong, 37,5 percent had shifts glass 60,7 percent of patients had =2 lesions; Conclusion: Ocular hypertension after closed ocular injuries are remarkable more common in men than in women, with male patients: female patients ratio being 4:1. 87,5 percent of patients were from 18 to 60. Accidents at work were the most common cause at 28,6 percent, followed by traffic accidents at 19,6 percent and leisure-related accidents at 16,1 percent. Lesions such as angle recession, intraocular hemorrhage, subluxation or dislocation of the lens,vistreous prolapsed In the anterior chamber are the main causes of patients with closed global injuries. When accompanying lesions exist, ocular hypertension will be more severe and the prognosis will be worse. Treatment will be more difficult as well.