显微眼内镜在眼外伤前后段联合手术中的应用

Application of Ocular Micro-endoscope to the Therapy of Complicated Ocular Trauma

目的探讨应用眼内镜实施眼外伤前后段联合手术的意义。方法对92例不同情况的眼外伤患者,应用眼内镜实施手术,包括:晶状体玻璃体切除、睫状突光凝、眼内异物摘出、视网膜脱离复位及辅助检查眼底周边部。结果角膜混浊行眼后段手术的52例中,合并眼内异物者全部摘出;视网膜脱离者眼内填充硅油,视网膜复位。40例继发青光眼患者,行晶状体或(和)玻璃体切除联合睫状突光凝,34例眼压控制,术后平均眼压(16.79±3.01)mmHg〔(2.24±0.40)kPa〕,6例眼压失控,再次行睫状体光凝。结论眼内镜下不失时机地对角膜混浊合并眼后段病变及难治性青光眼进行前后段联合手术,效果理想。

Objective To evaluate the effect of ocular micro-endoscope to treat complicated ocular trauma. Methods 92 patients with severe ocular trauma were treated with complicated post-segment operations under ocular micro-endoscope, including lens-vitrectomy, cyclophotocoagulation, intraocular foreign body extraction, retina reattachment, peripheral retina examination. Results 52 patients with post-segment disorders and severe cornea cloudy were undergone with vitrectomy under the micro-endoscope. All intraocular foreign bodies were extracted. Those patients with retina detachment were tamponated with silicone oil and their retina got anatomic reattachment. 40 patients with secondary glaucoma were treated with cyclophotocoagulation. Theintraocular pressure of 34/40 patients were under control and the mean intraocular pressure was ( 16.79±3.01) mmHg [(2.24±0.40)kPa].The intraocular pressure in 6/40 patients were out of control and they were retreated with trans-sclera photocoagulation.Conclusion Operations in ducted by micro-endoscope are useful for the patients,who got post-segment disorders complicated with cornea-opacity or refractory glaucoma.