眼球穿孔伤影响玻璃体手术预后因素分析

Factors influencing vitrectomy in treating penetrating ocular trauma involving the posterior segment.

目的 分析玻璃体手术治疗眼球穿孔伤的影响因素。方法 回顾 86例 ( 87眼 )眼球穿孔伤行玻璃体手术的资料 ,随访近期眼部情况。结果 成功 67眼 ( 77% ) ,失败 2 0眼 ( 2 3 % )。外伤后 14～ 3 0天内行玻璃体手术成功率 ( 88% )最高。术前视力 <0 0 2者手术成功率 ( 72 % )比术前视力≥ 0 0 2者成功率 ( 89% )低。术前合并视网膜脱离者成功率 ( 68% ) ,低于无视网膜脱离组 ( 89% )。结论 眼外伤后 14～ 3 0天内行玻璃体手术为最佳时间。术前视力好者预后佳。术前合并视网膜脱离者预后较差。

Objective To present the results of vitrectomy in penetrating ocular trauma involving the posterior segment and to analyze factors possibly influencing the final results.Methods Retrospectively reviewed records of 86 patients,87 eyes.Results In these 87 eyes,success was achieved in 67 eyes (77%),20 eyes(23%) were failed.Fourteen to thirty days after injury is the optimal time for surgical intervention.The success rate was lower in patients with pre operative VA<0 02(72%) than in patients with pre operative VA≥0.02(11%).Retina detachmaent portended a poor result compared with eyes without retina detachment ( P < 0.05). Conclusions Penetrating ocular trauma involving the posterior with good preoperative VA,has good prognosis.Fourteen to thirty days after injury is the best surgical time.Retina detachment combined with poor results.