玻璃体切除术治疗儿童眼外伤影响术后视力的相关因素  

Analysis clinical reasons affecting final visual acuity after posterior vitrectomy in pediatric eye with trauma.

作　　者：徐艳萍 坑彩霞[2] 庞秀琴[2] 王绍莉[2] 张荷珍[2] 张兰[2] 

机构地区：[1]北京市监管局医院眼科,北京100054 [2]首都医科大学附属同仁医院眼科,北京100005

出　　处：《眼外伤职业眼病杂志》2008年第3期185-188,共4页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨玻璃体切除术手术治疗儿童后段眼外伤影响术后视力的相关因素。方法62例行玻璃体切除术手术治疗眼后段眼外伤的儿童术后视力与相关因素进行统计学分析。结果统计学分析P<0.05的指标组有:是否有视网膜脱离;是否注入硅油;是否行视网膜切开术;手术次数;是否有多种眼外伤;术前视力。P>0.05的指标有:外伤至手术的时间(其中1月以内与1月以上);有无眼内异物;有无眼内炎;伤口的级别;是否做晶状体切除;患者年龄;术前有无玻璃体积血;是否注入膨胀性气体;眼挫伤或开放性伤。结论伤眼视网膜脱离发生、术中注入硅油、术中行视网膜切开及视网膜造孔、多次手术、伤情复杂包括多种外伤及术前视力低下是儿童眼外伤后行玻璃体切除术手术影响术后视力的重要因素。Objective To analysis clinical reasons affecting final visual acuity （FVA） after posterior vitrectomy in pediatric eye with trauma. Methods Sixty-two eyes undergone posterior vitrectomy were included. The outcome measures was FVA. Clinical features analyzed included the followings： （1） presence or absence of retinal detachment, （2） using or not using silicone tamponade, （3） yes or not using retinotomy, （4） operation times, （5） numbers of diagnosis, （6） patient＇s sex, （7） VA before operation, （8） presence or absence of intraocular foreign body, （9） presence or absence of clinical endophthalmitis; （10） zone of injury, （11） yes or not using lensectomy during vitrectomy, （12） age of patient, （13） presence or absence of vitreous hemorrhage, （14） yes or not usage of inflating air tamponade, （15） types of injury（ close or open wounded）. All datas were analyzed by the methods of nonparametrie test in SPSS 11.0. The test variable is FVA and grouping variables are clinical features. Results Statistically significant group （P 〈 0.05） were： presence or absenee of retinal detachment, yes or not usage of silicone tamponade,yes or not using retinotomy, operation times, numbers of diagnosis,patient＇s sex, VA before operation and no significant group （ P 〉 0.05） are ： presence or absence of intraocular foreign body,presence or absence of clinical endophthalmitis, zone of injury, yes ornot with lensectomy during vitrectumy, age of patient, presence or absence of vitreous hemorrhage, yes or not usage of inflating air tamponade, types of injury （ close or open wounded ）. Conclusions Presence of retinal detachment, usage of silicone tamponade, yes or not using retinotomy, complexity of injuries including numbers of diagnosis,poor VA before operation are the important reasons contributing to the low FVA after posterior vitrectomy in pediatric eye with trauma.

关 键 词：眼外伤 玻璃体切除术 术后视力 影响因素 

分 类 号：R779.6[医药卫生—眼科]