Objective To investigate the clinical characteristics and the effect of selenium supplementation on the prognosis of patients with ocular contusion in the early stage of ocular contusion. Method The clinical data of 86 cases of ocular contusion in Southwest Hospital, Third Military Medical University from May 2014 to May 2016 were retrospectively analyzed. The patients were divided into observation group and control group according to whether they were treated with selenium supplementation, 43 cases in each group. Patients in observation group were treated with selenium supplementation on the basis of conventional treatment, while control group patients were given conventional treatment only. The clinical characteristics and prognosis between the two groups were compared. Result Two groups patients were accompanied by more than 2 types of injury, the most common was hyphema, followed by dislocation of the lens, iris laceration or adhesion, contusion of the chamber angle, corneal foreign body, orbital fractures. After treatment for 1 week, the average intraocular pressure (IOP) of two groups were significantly lower than before treatment, there was significant difference between the two groups (P < 0.05). Before treatment, two groups of patients' photosensitive vision showed no significant difference (P > 0.05), and after 1 week' treatment, the photosensitive vision higher than 0.01 of observation group was 12 cases, accounting for 27.91%, significantly more than control group[5 cases (11.63%)]; the complication of observation group after 1 month of treatment occurred 2 cases of secondary glaucoma (4.65%), significantly less than control group [8 cases (18.60%)] (P < 0.05). Conclusion The main clinical manifestations of eye contusion early with high intraocular pressure are hyphema, lens dislocation, laceration or adhesion of iris, chamber angle injury, basing on lowering intraocular pressure and promoting the real drug water cycle, with anting inflammation, eliminating the congestion, doing surgery when necessary can effectively reduce intraocular pressure, and selenium supplementation can help patients restore vision, reduce secondary glaucoma and improve the prognosis of patients.%目的 探讨眼挫伤早期高眼压患者的临床特点及补硒对患者预后的影响.方法 回顾性分析第三军医大学西南医院眼科2014年5月至2016年5月收治的86例眼挫伤早期高眼压患者的临床资料,按照入选患者是否接受补硒治疗将其分为观察组和对照组,每组各43例.观察组患者在常规治疗基础上联合补硒治疗,对照组患者仅给予常规治疗,分析并比较两组患者的临床特点及预后差异.结果 两组患者均伴有2种以上损伤类型,以前房积血最常见,其次为晶状体脱位、虹膜裂伤或粘连、房角挫伤、角膜异物、眶骨折等.两组患者治疗1周后平均眼压较治疗前均显著降低,组间比较差异具有显著性(P<0.05).两组患者治疗前感光视力比较无显著差异(P>0.05);治疗1周后观察组12例(27.91%)患者视力≥0.01,明显多于对照组[5例(11.63%)](P<0.05).观察组患者治疗1个月后发生继发性青光眼2例(4.65%),明显少于对照组[8例(18.60%)](P<0.05).结论 眼挫伤早期高眼压患者临床主要表现为前房积血、晶状体脱位、虹膜撕裂或粘连及房角损伤等,在药物降眼压、促进房水循环的基础上,联合抗炎、清除淤血、必要时行手术治疗可以有效降眼压,同时补硒可以帮助患者视力恢复,减少继发性青光眼的发生,改善患者预后.
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