摘要
目的探讨外伤性无光感眼采用玻璃体切除手术治疗的时机选择。方法对眼外伤无光感眼20例(20眼)行玻璃体切除联合硅油填充术患者的临床资料进行回顾性分析。结果术前彩色多普勒超声显示20眼均有视网膜脱离合并脉络膜脱离及玻璃体混浊。术前视力为无光感,眼压5～16 mm Hg(1 mm Hg=0.133 kPa),平均眼压8.3 mm Hg。术后1周视力为9眼仍为无光感,8眼为光感,1眼为眼前手动,1眼为眼前指数,1眼最佳矫正视力为0.02。术后1周眼压为16眼硅油填充眼眼压正常,4眼硅油填充眼眼压低,平均眼压11.0 mm Hg。结论适当的玻璃体视网膜手术是治疗外伤性无光感眼的有效方法。
Objective To evaluate the effects of vitreoretinal surgery for traumatic eyes with no light perception＇（NLP）. Methods 20 cases（20 eyes） of traumatic eyes with no light perception were analyzed retrospectively. Each case was treated with vitreoretinal surgery and tamponaded with silicone oil. Results 20 cases （20 eyes） of traumatic eyes with no light perception （NLP） were subjected to ultrasound for determining the detachment of retinal. Preoperative visual acuity（VA） was NLP. The preoperative i ntraocular pressure（IOP） was 5 -16 mm Hg, mean IOP was 8.3 mm Hg. Postoperative VA： 9 eyes remained NLP,8 eyes were LP, 1 eye had hand motion, 1 eye had counting fingers, corrected VA of 1 eye was 0.02. Postoperative intraocular pressure： 16 eyes were normal,4 eyes were lower, mean postoperative IOP was 11.0 mm Hg. Conclusion The optical vitreoretinal surgery was an effective method for traumatic eyes with NLP.
出处
《中华全科医学》
2012年第10期1507-1508,共2页
Chinese Journal of General Practice
关键词
外伤性
无光感
玻璃体视网膜手术
Traumatic
No light perception
Vitreoretinal surgery
