摘要
目的:观察玻璃体切割术治疗严重眼外伤的疗效。方法:分析我院自2005年以来收治的严重眼外伤患者38例38眼,其中钝挫伤5眼,眼球破裂伤27眼,眼内异物6眼,全部患者均经睫状体平坦部行闭合式巩膜三通道玻璃体切割术,其中全部联合行视网膜光凝术38眼,联合硅油填充术30眼,行C3F8注气术8眼,联合巩膜外环扎术15眼。结果:术后随访6mo～2a,38例患者眼球萎缩仅2例,视力无提高5例,其余31例术后视力均较术前提高,其中1例术前无光感,术后出现光感。结论:玻璃体切割术治疗严重眼外伤效果明显。
AIM： To observe the effect of vitrectomy treatment of severe ocular trauma. METHODS： We analyze 38 cases （38 eyes） with severe ocular trauma in our hospital since 2005. Five cases （5 eyes） is blunt trauma. 27 cases （27 eyes） is eyeball rupture. 6 cases （6 eyes） is intraocular foreign body. All patients have been considered by the ciliary body pars plana sclera line three-channel closed vitrectomy, All the joint line retinal photocoagulation was done to 38 eyes. Silicone oil tamponade combined was done to 30 eyes, C3F8 gas injection was done to 8 eyes. Joint sclera outer root surgery was done to 15 eyes. RESULTS： We followed up for 6 months to 2 years after operation. Only 2 cases of eyeball atrophy among 38 cases, 5 cases had no visual improvement. Visual acuity improved in the remaining 31 cases after operation. One case felt no light perception preoperation, and light perception appeared after operaton. CONCLUSION： It has a good effect for severe ocular trauma with vitrectomy treatment.
出处
《国际眼科杂志》
CAS
2009年第5期1004-1005,共2页
International Eye Science
