玻璃体切除治疗严重外伤性玻璃体积血

A clinical analysis of vitrectomy for the treatment of severe traumatic vitreous hemorrhage

目的 观察玻璃体切除术治疗严重外伤性玻璃体积血的效果。方法 玻璃体切除术治疗严重外伤性玻璃体积血 5 1例 ( 5 1眼 ) ,并对因积血导致的并发症联合相关手术同时进行治疗。结果 术后视力提高 3 6眼 ( 70 5 9% ) ;不变 13眼( 2 5 49% ) ;下降 2眼 ( 3 92 % )。结论 玻璃体切除术是治疗严重外伤性玻璃体积血的有效方法 ,伤后 10～ 14天为适宜的手术时机。

Objective To observe the efficacy of vitrectomy in severe traumatic vitreous hemorrhage.Methods Vitrectomy was performed to 51 cases with severe traumatic vitreous hemorrhage and combined with related surgery to treat the complications due to the hemorrhage.Results The post-operative visual acuity improved in 36 eyes (70.59%) and decressed in 2 eyes (3.92%) The post-operative visual acuily did not change in other 13 eyes (25.49%).Conclusion Vitrectomy is an effective method to treat severe traumatic vitreous hemorrhage.The proper time for surgery is 10～14 days after injury.