玻璃体切除重硅油眼内充填治疗严重眼外伤21例分析

Clinical analysis of modern vitrectomy combined with heavy silicone oil tamponade in treatment of 21 cases with severe ocular injury

目的:探讨现代玻璃体切除手术联合眼内充填重硅油治疗严重眼外伤的疗效。方法:对2009/2010年我院收治的21例严重眼外伤患者应用现代玻璃体切除联合重硅油填充手术治疗,一期清创缝合联合玻璃体手术者7例,一期清创缝合二期行玻璃体手术者14例。术后随诊3～12(平均7.5)mo,观察术后效果。结果:术后17例眼球完全保留,4例眼球萎缩。10例视力较术前不同程度提高。结论:应用现代玻璃体切除重硅油填充术治疗严重眼外伤,不仅能保留眼球完整,也会提高部分视力。

AIM：To explore the therapeutic effect of modern vitrectomy combined with heavy silicone oil tamponade on severe ocular injury.METHODS：The clinical data of 21 patients suffering from severe ocular injury admitted to our hospital from 2009 to 2010 were performed the modern vitrectomy combined with heavy silicone oil tamponade.Of 21 cases,7 cases were sutured combined with vitrectomy in the first stage.14 cases were sutured in the first stage and performed by vitrectomy in the second stage.All the 21 patients were followed up for a mean of 7.5（3-12）months and the therapeutic effect was observed.RESULTS：The eyeballs of 17 patients were reserved after operation.The eyeballs of 4 patients were atrophic.The visual acuity of 10 patients was improved in different degree compared with that before operation.CONCLUSION：Application of the modern vitrectomy combined with heavy silicone oil tamponade in treatment of the severe ocular injury can not only reserve the intact eyeball but also partially improve the visual acuity.