CAJ | 학술논문

目的分析儿童502胶致眼损伤的病因、治疗方法,并提出防治建议.方法对眼科1999年7月至2010年6月的35例37只眼儿童502胶致眼损伤过程及原因,临床表现、治疗方法、预后等进行分析.结果儿童502胶眼损伤主要为使用时不慎溅入,此外尚有误为滴眼液滴入.处置时不宜先用生理盐水冲洗,而要先滴0.5%丙美卡因眼液表麻醉止痛,并使502胶的黏附力降低,才易将其从角膜、结膜表面去除.结论儿童502胶眼损伤较为常见,应对其预防引起高度重视.治疗时宜先滴0.5%丙美卡因眼液表麻止痛,并使502胶的黏附力降低.治疗得当一般不留后遗症.
목적 분석인동502효치안손상적병인、치료방법,병제출방치건의.방법 대안과1999년7월지2010년6월적35례37지안인동502효치안손상과정급원인,림상표현、치료방법、예후등진행분석.결과 인동502효안손상주요위사용시불신천입,차외상유오위적안액적입.처치시불의선용생리염수충세,이요선적0.5%병미잡인안액표마취지통,병사502효적점부력강저,재역장기종각막、결막표면거제.결론 인동502효안손상교위상견,응대기예방인기고도중시.치료시의선적0.5%병미잡인안액표마지통,병사502효적점부력강저.치료득당일반불류후유증.
Objective To analyze the traumatic characteristics of pediatric accidental ocular injury from superglue(502 glue,a type of cyanoacrylate glue),and to propose the suitable treating methods and the relevant preventive policies.Methods :A retrospective review of all pediatric patients treated in our department from July 2009 to June 2010 with ocular superglue injuries was made.Relevant clinical features,managements and visual outcome were evaluated.Results:A total of 35 patients(20 boys,mean age 10 years,2 bilateral injuries)with 502 glue injury to 37 eyes were included in this study.The mechanisms of the ocular injury were mainly that the superglue had accidentally sprayed into eyes or had been mistakenly poured into eyes instead of the prescribed eye drops.On management,0.5 % Proparacaine eye drops for anesthesia was applied before saline irrigation was given.Conclusion:Pediatric Ocular superglue accidents continue to occur among children.Therefore,preventive methods including public educations should be strengthened.Superglue eye injuries do not appear to cause long term morbidity if managed in time and properly.