玻璃体手术联合人工晶体植入治疗经选择的复杂眼外伤103例

Vitrectomy Combined with Intraocular Lens Implantation for 103 Selected Cases of Complicated Ocular Trauma

目的:观察累及眼球前后节的复杂外伤患者施行玻璃体手术联合人工晶体植入术的视力效果。方法:对103例(104只眼)复杂眼外伤经一次玻璃体手术联合人工晶体植入的病例进行回顾性研究。结果:本组眼内异物35例,眼球穿通伤37例,无眼内异物的爆炸伤9例(10只眼),眼球钝挫伤22例。除3例儿童视力不能检查外,在100例101只眼中,手术前视力为无光感～指数的88只眼(87.1％);手术后94只眼(93.1％)视力提高,其中74只眼(73.3％)为0.1～1.5。随访中1只眼发生视网膜脱离,经玻璃体手术复位。结论:玻璃体手术联合人工晶体植入对经过选择的复杂眼外伤患者,是一种安全、快速和有效的重建视力的方法。眼科学报2000;16:109-111。

Purpose: To observe the visual outcome of vitrectomy combined with intraocular lens (IOL) implantation in one operation for patients with complicated ocular trauma. Methods: Clinical records were retrospectively reviewed in 103 patients with complicated ocular trauma (104 eyes) who underwent vitrectomy combined with IOL implantation in one operation. Results: The series of cases included 35 patients with intraocular foreign body (IOFB), 37 with penetrating injury, 9 (10 eyes) with explosive injury but without IOFB, and 22 with blunt trauma. Preoperatively, visual acuity was no-light-perception to counting fingers in 88 eyes (87. 1% ) of 100 patients (101 eyes). Visual acuity improved in 94 eyes (93. 1% ) including 74 eyes (73. 3% ) with 0. 1-1. 5 postoperatively. Retinal detachment occurred in one eye during follow-up and cured with pars plana vitrectomy. Conclusion: Vitrectomy combined with IOL implantation in one operation can be a safe, fast and effective approach for visual recovery in selected patients with complicated ocular trauma. Eye Science 2000; 16: 709 - 111.