玻璃体切割术治疗严重眼外伤36例的临床分析

Clinical Analysis of Pars Plana Vitrectomy for Severe Ocular Trauma in 36 Cases

目的探讨针对严重眼外伤患者,观察选择玻璃体切割术完成治疗后获得的临床效果。方法整群选择该院2013年2月—2015年2月严重眼外伤患者36例(36眼)。针对所有患者临床选择玻璃体切割术进行治疗。对比治疗前后,患者视力表现出的差异。结果所有严重眼外伤患者分别完成临床治疗后,功能痊愈共包括25眼,解剖痊愈包括10眼,未愈包括1眼。手术前无光感患者1例,光感为-0.05患者26例,光感为0.06~0.1患者9例,光感为0.2~0.3患者;手术后,无光感患者0例,光感为-0.05患者3例,光感为0.06~0.1患者25例,光感为0.2~0.3患者8例;患者的视力获得显著提高,同手术前比较,表现差异有统计学意义(P<0.05)。结论严重眼外伤患者,临床选择玻璃体切割术进行治疗,能够获得显著效果,能够将眼外伤患者的视力有效提高,并且临床表现出的并发症较少,凸显玻璃体切割术的临床应用价值。

Objective To discuss the outcomes following pars plana vitrectomy(PPV) in patients with severe ocular trauma. Methods 36 eyes of 36 patients with severe ocular trauma admitted to our hospital between February 2013 and February 2015 were included. All of them underwent PPV and their visual acuity before and after treatment was compared. Results Treatment performed on all the patients led to functional recovery in 25 eyes, anatomic recovery on 10 eyes and 1 eye uncured. Before treatment, there were 1 case of no light perception, 26 cases of light perception to 0.05, 9 cases of 0.06-0.1, 0 cases of 0.2-0.3, while after treatment, there were 0 case of no light perception, 3 cases of light perception to 0.05, 25 cases of 0.06-0.1, 8 cases of 0.2-0.3. The visual acuity of patients after treatment improved significantly, and there was statistical difference compared to that before, P<0.05.Conclusion For patients with severe ocular trauma, PPV can effectively improve their visual acuity with less complications, therefore it is of great clinical value.