摘要
目的总结玻璃体切除联合手术治疗严重眼外伤的体会。方法采用平坦部三通道玻璃体切除术联合眼内异物摘出、白内障摘出和（或）视网膜脱离复位治疗严重眼外伤42例（42眼）。结果术后视力提高者39眼，占92．86％；术后视力≤0．04者5眼（11．90％），0．05～0．25者15眼（35．71％），0．3—0．5者20眼（47．63％），≥0．6者2眼（4．76％）。术后视力≥0．05者37眼（88．10％）较术前的4眼（9．52%）明显的提高，差异有统计学意义（X2=51．887，P=0．001）。术后主要并发症为高眼压5眼（11．90％）、后发性白内障4眼（9．52％）、视网膜脱离1眼（2．38％）、硅油乳化3眼（7．14％），经处理后均治愈。无眼内炎等严重并发症发生。结论对于严重的眼外伤患者选择不同的玻璃体切除联合手术治疗，术后视力恢复较好，并发症较少。
Objective To summarize the clinical experience of vitrectomy and combined surgery for the treatment of severe ocular trauma. Methods Forty-two eyes of 42 cases with severe ocular trauma underwent pars plana three-channel vitrectomy and combined with extraction of intraocular foreign bodies, cataract extraction, and/or retinal detachment surgery. Results The postoperative visual acuities of 39 eyes （92.86%） were improved, which were at ≤0.04 in 5 eyes（11. 90%）, 0. 05 -0. 25 in 15 eyes （35.71%）, 0.3 -0.5 in 20 eyes（47.63% ）, ≥0.6 in 2 eyes（4.76% ）. The visual acuities at ≥0.05 were found in 37 eyes（88.10% ） postoperatively and 4 eyes （9.52%） preoperatively. By chi-square test： The difference were statisticallysignificant（X2 = 51. 887, P = 0. 000 ） . The main postoperative complications are high intraocular pressure in 5 eyes （ 11.90% ）, after cataract in 4 eyes （9.52%）, retinal detachment in 1 eye （2.38%）, silicone oil emulsification in 3 eyes （7.14%）. These complications were cured by the corresponding treatment. No serious complications, such as endophthalmitis, happened. Conclusion Vitrectomy combined with other different surgery for severe ocular trauma may obtain good postoperative vision with few complications.
出处
《中华眼外伤职业眼病杂志》
2016年第9期711-714,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
