晶状体玻璃体切割联合巩膜环扎术治疗严重眼外伤

Lens-vitrectomy company with sclera buckling procedure for severe ocular injuries

目的评价晶状体玻璃体切割术联合巩膜环扎术治疗严重眼外伤的效果。方法总结这类病人的临床资料8例，对术后临床效果进行分析、评价。结果8例病人中严重眼球穿通伤6眼，爆炸伤2眼。球内异物3例，并发视网膜脱离4例。2次手术前视力光感4眼，手动3眼，0．08者1眼，2次手术后，手动1眼。数指1眼，0．04～0．08者4眼，0．1～0．3者2眼。眼压均有不同程度的回升。所有患者均避免了眼球摘除之苦，无回例发生交感性眼炎。结论晶状体玻璃体切割联合巩膜环扎术是治疗严重眼外伤有效措施之一。

Objective To evaluate the effect of lens-vitrectomy company with sclera buckling procedure for severe ocular injuries. Methods We reviewed clinical records of 8 patients who underwent lens-vitrectomy company with sclera buckling procedure in one eye for severe injury and evaluated the effect of the operation. Results Of all male patients, 6 had penetrating injury, 2 had explosive injury, 3 had intraocclar foreign bodies,4 was composed with retinal detachment. Before the second operation, VA: 4 eyes were LP, 3 eyes were HM, 1 eyes was 0. 08. After the second operation,all patients had better VA: I eye had FC, 4 eyes were 0. 04～0. 08, 2 eyes were 0. 1 ～0. 3. The intraocular pressure increased in various degree. All patients avoided the operation of enucleation and none suffered from sympathetic ophthalmits. ConClusion lens-vitrectomy company with sclera buckling is an effective method for treating severe ocular injuries.