摘要
目的总结玻璃体手术治疗严重眼球外伤的视力后果。方法回顾性分析１９９６年１１月至１９９８年４月间经玻璃体手术治疗的严重眼外伤１８８例１９１只眼的临床资料。结果１９１只眼中眼球穿通伤５６只眼，眼后节异物７０只眼，眼球钝挫伤４１只眼，眼球破裂２４只眼。其中合并眼内炎３５只眼，脉络膜出血２０只眼，视网膜脱离６０只眼，玻璃体积血９７只眼。玻璃体手术后，除３只眼因患者年幼不能测视力外，其余的１８８只眼中，１３３只眼视力提高，占７０．７％，其中０．０２～１．０者占４５．２％；４６只眼不变，占２４．５％；９只眼下降，占４．８％。术前３４只无光感眼中，１２只眼恢复光感以上视力。结论经过适时、恰当的玻璃体手术治疗。
Objective To summarize the visual outcome of patients with severe ocular trauma treated with vitreous surgery. Methods Clinical data of 188(191 eyes)with severe ocular trauma treated with vitreous surgery in a period from November 1996 to April 1998 were analysed retrospectively. Results The study included penetrating injury in 56 eyes,foreign bodies in the posterior segment in 70 eyes,blunt injury in 41 eyes,and globe rupture in 24 eyes.Main complications included endophthalmitis in 35 eyes,choroidal bleeding in 20 eyes,retinal detachment in 60 eyes,and vitreous hemorrhage in 97 eyes.Post operatively,out of 188 eyes,except for 3 of patients too young to examine,visual acuity improved in 133 (70.7%), including 85(45.2%)with visual acuity 0.02～1.0,46(24.5%)remained unchanged;and 9 (4.8%) had worse vision.Among 34 with no light perception,12 had light perception or over. Conclusion A majority of severe trauma eyes can be salvaged with considerable visual recovery after adequate and timely vitreous surgery.
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
1999年第1期4-6,共3页
Chinese Journal of Ocular Fundus Diseases
关键词
眼外伤
玻璃体切除术
疗效
视力
Eye injuries/surgery Vitrectomy Endophthalmitis/surgery Vitreous hemorrhage/surgery Choroidal hemorrhage/surgery Retinal detachment/surgery
