目的:分析和探讨角膜异物的原因、治疗及预后。方法:收集门诊就诊角膜异物伤患者792例803眼,分析患者年龄、性别分布、异物分类、分区及预后情况。结果:角膜异物患者792例803眼中,男747例(94.3%),发病年龄集中在19～40岁。异物中以金属最为多见,占91.7%,184眼(22.9%)的异物位于角膜C区,335眼(41.7%)的异物位于角膜B区,284眼(35.4%)的异物位于角膜A区。有58例(7.2%)就诊时发现合并感染的角膜异物。除部分患者视力下降外未发生严重并发症,视力下降12眼(1.5%)。结论:角膜异物是常见的眼外伤,严重者会影响视力,经适当的治疗后,大多数角膜异物伤可有较好的治疗效果。

AIM:To analyze and discuss the reason of corneal foreign body,treatment and prognosis.METHODS:This retrospective study included 792 cases(803 eyes) with corneal foreign body hurt.The ages,sexes,foreign bodies,classification and prognosis were analyzed.RESULTS:In all cases,747 cases(94.3%) were male and most patients were 19-40 years old.The foreign body was metal in 736 cases(91.7%).And the foreign bodies of 184 eyes(22.9%) were at corneal zone C,335 eyes(41.7%) at cornea zone B,and 284 eyes(35.4%)at cornea zone A.In all cases,58 cases(7.2%) arrived found combined infection.There were no serious complications and vision loss probability of 12 eyes(1.5%).CONCLUSION:Corneal foreign body is a common ocular trauma.And the visions of serious patients may decline.With treatment,most of the patients could recover well.

R779.1