眼科学报2025，Vol.40Issue(12)：971-977,7.DOI:10.12419/25052108
眼外伤的精准诊断和评估
Precise diagnosis and assessment in ocular trauma
摘要
Abstract
Ocular trauma is a highly personalized disease.Given the substantial variability in the nature,speed,and direction of the injuring agents,different patients potentially may suffer damage to various tissue with varying severity.Therefore,precise diagnosis and assessment of ocular trauma are important for determining treatment plans and predicting prognosis.This article will discuss how to conduct precisely assessment for specific injuries.It covers a range of methods,including the use of anterior segment optical coherence tomography(OCT)for evaluating corneal wounds;the application of artificial intelligence algorithms for automatic segmentation of the corneal inner and outer boundaries to achieve automated assessment;the use of anterior segment OCT for quantitative measuring anterior chamber inflammation and evaluating anterior chamber fibrinous exudation;the use of B-mode ultrasound for preoperative assessment of posterior capsule rupture in traumatic cataracts;a comparison of intraocular lens power calculation strategies for secondary implantation in traumatic cataracts;the use of spectral-domain OCT for grading commotio retinae and predicting prognosis;the application of artificial intelligence algorithms for three-dimensional quantitative measurement of the volume of ellipsoid zone loss in commotio retinae;the use of spectral-domain OCT for predicting spontaneous closure of traumatic macular holes;the use of electroretinography for quantitative assessing retinal dysfunction caused by metallic intraocular foreign body toxicity;the use of metagenomic sequencing for rapid pathogen diagnosis in infectious endophthalmitis;the use of spectral-domain OCT for assessing retinal damage caused by endophthalmitis,and the application of artificial intelligence algorithms for predicting the prognosis of traumatic no-light-perception eyes.These examples demonstrate how ophthalmic imaging,artificial intelligence,metagenomic sequencing,and other technologies can facilitate the precise diagnosis and assessment of ocular trauma.关键词
眼外伤/精准诊断/眼科影像学Key words
ocular trauma/precise diagnosis/ocular imaging分类
医药卫生引用本文复制引用
陈浩宇,李涛..眼外伤的精准诊断和评估[J].眼科学报,2025,40(12):971-977,7.基金项目
广东省普通高校重点领域项目(181254310).This work was supported by the Department of Education of Guangdong Province(181254310). （181254310）
