严重开放性眼球外伤的玻璃体视网膜手术

Vitreoretinal surgery for the treatment of severe open globe injury

目的 探讨玻璃体视网膜手术治疗严重开放性眼球外伤的临床效果.方法 9例（9眼）严重开放性眼球外伤,均有巩膜裂伤.均进行I期急诊眼球伤口缝合术.9～14 d行Ⅱ期三通道闭合式玻璃体视网膜联合手术.结果 8例术后视力有不同程度的提高.1例因后期眼球萎缩行眼球摘除联合义眼台植入手术.2例出现术后低眼压（5～9 mmHg）（1 mmHg=0.133 kPa）,均有不同程度的眼球萎缩,但视力均为光感.结论 玻璃体视网膜手术能够有效挽救伤眼和恢复有用视力,手术时机的选择和熟练的手术技巧尤为重要.

Objective To study the clinical effect of the vitreoretinal surgery for severe open globe injury. Methods All the 9 eyes of 9 cases were severe open globe injury, with scleral laceration. First, the patients underwent emergency suture of eyeball wounds after injury. The standard triple route vitreoretinal surgeries through pars plans were done after 9 - 14 days. Results The postoperative visual acuities of 8 patients improved in different degrees. Atrophy of eyeball occurred in one patient lately and enucleation and hydroxyapatite implantation was performed. Two cases appeared low intraocular pressure （5 -9 mmHg） （1 mmHg =0. 133 kPa） and atrophy of eyeball in different degrees after surgery, but the visual acuity were light perception. Conclusion Vitreoretinal surgery can effectively save the injured eye and restore useful vision. Surgical timing and operation skills are particularly important.