玻璃体切除术治疗复杂眼外伤的效果观察

The efficacy of vitrectomy for complex ocular trauma

目的观察玻璃体切除术治疗复杂性眼外伤的效果。方法回顾总结玻璃体切除术治疗复杂性眼外伤33例（33眼）的资料，分析手术的效果。结果33眼复杂眼外伤术后视力提高者30眼（90．9％），术前视力为无光感的4眼术后视力均不同程度恢复。眼内异物摘出成功率100％，视网膜脱离复位率100％。结论现代玻璃体显微手术的发展使复杂眼外伤的治疗效果大为改善，使外伤后无光感的患眼获得了一定程度上复明的希望。

Objective To observe the efficacy of vitrectomy for complex ocular trauma. Methods To retrospectively summarize the data of 33 cases （33 eyes） with complex ocular trauma and analyze the efficacy of surgery. Results Postoperative visual acuity was improved in 30 eyes （90.9%）. Postoperative vision in 4 eyes with no light perception （NLP） before operation was recovered. Intraocular foreign body re- moval rate was 100%, retinal reattachment rate was 100%. Conclusion The development of modern vit- reous microsurgery has greatly improved the treatment effect of complex ocular trauma, making NLP eyes ob- tain the hope of recoving visual acuity to a certain extent.