玻璃体切除手术治疗复杂眼外伤

Vitrectomy for severe ocular trauma

目的:探讨玻璃体切除术在治疗复杂眼外伤中的应用价值。方法:对75例77眼复杂眼外伤的玻璃体切除手术进行临床分析。结果:眼内非磁性异物18眼,摘出率100%。玻璃体积血26眼,复杂视网膜脱离23眼,复位率85%,化脓性眼内炎5眼,炎症均控制。继发性青光眼5眼,眼压均控制在正常范围内。77眼中术后视力提高者63眼(85%),视力不变或下降者14眼(15%)。结论:玻璃体切除手术是目前最理想的治疗复杂眼外伤的方法。

AIM：To investigate the effect of vitrectomy in treat-ment of severe ocular trauma. METHODS： Seventy-five cases 77 eyes with severe ocular trauma were treated with vitrectomy in combination of IOL implantation,intraocular foreign body extraction,retinal reposition.RESULTS：After treatment,vision was improved in 63 eyes （85% ）;remained unchanged or worsened in 14 eyes（15%）; foreign bodies in 18 eyes were extracted in one operation, the extraction rate was 100%;23 eyes had retinal detachment, the reposition rate after operation was 85%. Vitreous hematocde was occurred in 26 eyes, suppurative endophthalmitis was controlled. Secondary glaucoma was occurred in 5 eyes, the intraocular pressure was in normal range. CONCLUSION： Vitrectomy is an ideal method for severe ocular trauma.