玻璃体手术治疗开放眼球伤的时机和核心问题

The opportunity and key techniques of vitrectomy for opening eyeball injury

开放眼球伤的玻璃体手术时机是影响伤眼预后的重要因素之一。常规修复的前节外伤近期内实行玻璃体手术的后续治疗是值得重视的眼外伤救治措施。伤道内口清创和周围组织廓清处理是后续处理的技术关键。视网膜复位和稳定修复是手术处理的核心问题。

The opportunity of vitreetomy for opening eyeball injury is one of the important factors affecting the prognosis. Anterior segment wound repaired by routine suturing needs following and continuous treatment with vitrectomy. The key technique of the following treatment should be the debridement of the inside of wound and expurgation of the surrounding tissues adjacent to the wound, and the emphasis should be put on retinal reattchment and stable repairment.