摘要
目的 观察临时人工角膜用于严重眼外伤眼前后段联合手术的远期疗效。方法 分析 3 8例 (3 8眼 )由于眼球破裂伤导致眼前后段严重损伤 ,实施临时人工角膜下的晶状体玻璃体切除、眼内异物摘出、视网膜复位及穿透性角膜移植联合手术的效果及相关因素的影响。结果 术后随访 6月～ 6年 ,平均 2年。保存 0 .0 2以上有用视力者 2 3眼 (61% ) ,眼球萎缩 2眼。 9眼合并眼内异物全部摘出成功 ,2 0眼合并视网膜脱离者 ,术后再脱离 4眼 ,16眼复位 (80 % )。 2 8眼角膜植片保持透明 (74% ) ,2次移植 5眼 ,3次移植 1眼 ,4眼植片半透明仍在观察中。结论 在临时人工角膜下的眼前后段联合手术使部分患者经过 1次手术达到复明目的。
abstract Objective To observe the long-term curative effect of comb in ed anterior and posterior segment surgery with temporary keratoprosthesis to tre at the severe ocular trauma.Methods Combined lensectomy,vitrectomy,extraction of intraocula r foreign bodies,repair of retinal detachment and penetrating keratoplasty with temporary keratoprosthesis were carried out in 38 eyes with complicated anterior and posterior segment perforating injuries.The curative effect and related fact ors of the surgery were analysed.Results The cases were followed up 6 months to 6 years,2 years averagely.There was some improvement of vision in most cases.The visoin of 23 ey e s(61%) was above 0.02.The intraocular foreign bodies of 9 eyes were all extracte d.Retinal detachment of 20 eyes were repaired in 16 eyes(80%).The corneal grafts of 28 eyes(74%) were transparent.Conclusion The combined anterior and posterior segment surgery with temporary keratoprosthesis improves vision in many patients.It is PVR and s ilicone oil to influence the repair of retinal detachment and transparency of co rneal grafts.
出处
《眼外伤职业眼病杂志》
北大核心
2003年第9期586-587,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
严重眼外伤
临时人工角膜
联合手术
角膜移植
疗效
Ocular trauma
Vitreoretinal surgery
Keratoplasty
Keratoprosthesis,temporary
