玻璃体切割联合手术治疗严重眼外伤的临床研究

The clinical research of vitrectomy surgery for severe ocular trauma

目的探讨玻璃体切割联合手术治疗严重眼外伤的手术效果，以及术前术后视力改善情况。方法回顾性分析2011年1月。2013年1月我院应用玻玻璃体切割联合手术治疗严重眼外伤32例的临床资料。结果术后无1例眼球摘除，术后视力大部分有了不同程度的提高。40眼伤眼中，手术成功共39眼，成功率达97．5％，其中功能治愈35眼，解剖治愈4眼，失败1眼，失败率为2．5％。结论随着玻璃体切割术的技术不断成熟，玻璃体切割术在严重眼外伤中的治疗作用越来越重要，值得广泛推广和应用。

Objective To investigate the effect of vitrectomy surgery for severe ocular trauma surgery,and to explore the visual acuity improvement preoperative and postoperative. Methods Retrospective analyzed the clinical data of 32 cases with severe ocular trauma by glassy vitreetomy surgery from January 2011 to January 2013 in our hospital. Results There was no one eye of enucleation,visual acuity had improved compared with preoperative.Among 40 eyes ocular trauma,39 eyes were surgical successive, the surgical successive rate was 97.5%,of which functional cured 35 eyes, anatomical cured 4 eyes,the failure rate was 2.5%. Conclusion With the vitrectomy technology continues to mature, vitrectomy in the treatment of severe ocular trauma is an increasingly important role, and it should be popularized and applied.