开放性眼外伤玻璃体切除手术时机选择

The timing of vitrectomy for open ocular trauma

目的探讨开放性眼外伤二期玻璃体切除术的手术时机选择。方法回顾性系列病例研究。该院2013年2月至2018年2月二期玻璃体切除手术的开放性眼外伤65例(65只眼)的资料。患者随机分为两组:A组,36只眼,于伤后5~7天手术;B组,29只眼,于伤后2~3周手术。结果随访12个月,A组最终2只眼眼球萎缩(5.56%),B组最终7只眼眼球萎缩(24.14%),差异有统计学意义(χ^2=4.65,P=0.03)。A组中21只眼视力明显提高(58.33%),13只眼稍有提高(36.11%);B组中4只眼视力明显提高(13.79%),8只眼视力稍有提高(27.59%),差异具有统计学意义(χ^2=21.864,P=0.000)。结论开放性眼外伤后早期(5~7天)行玻璃体切除手术效果较好。

Objective To investigate the timing of secondary vitrectomy for open ocular trauma. Methods A retrospective study. The data of 65 eyes of 65 cases with open ocular trauma from Feb.2013 to Feb.2018 were analyzed.All cases who received secondary vitrectomy were divided into two groups randomly.Group A, 36 patients, were treated with vitrectomy at 5-7 days after trauma. Group B, 29 patients, were treated with vitrectomy at 2-3 weeks after trauma. Results The followed-up time was 12 months. In group A, eyeball atrophy occurred in 2 eyes (5.56%), and 7 eyes (24.14%) in group B . The difference was statistically significant between the two groups(χ^2=4.65, P=0.03). The visual acuity in group A improved significantly in 21 eyes(58.33%), improved slightly in 13 eyes(36.11%). The visual acuity in group B improved significantly in 4 eyes(13.79%), improved slightly in 8 eyes(27.59%). The difference was statistically significant between the two groups(χ^2=21.864, P=0.000). Conclusion The efficacy of vitrectomy for the treatment of open ocular trauma at 5-7days is better.