玻璃体视网膜联合术治疗复杂性眼外伤52例  

Vitreo-retinal surgery for severe ocular trauma in 52 cases

作　　者：董卫红[1] 毕宏生[1] 王兴荣[1] 马先祯[1] 杜秀娟[1] 俞超[1] 

机构地区：[1]山东中医药大学眼科中心山东施尔明眼科医院,济南250002

出　　处：《山东大学耳鼻喉眼学报》2008年第4期362-365,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的评价玻璃体视网膜联合手术治疗复杂性眼外伤的效果。方法分析52例（52眼）复杂性眼外伤患者的治疗及愈后过程。采用玻璃体视网膜联合手术，对合并白内障影响后节手术操作者，先行晶状体切除术或晶状体超声粉碎术，术毕行长效气体或硅油等充填玻璃体腔，硅油填充眼视眼部情况择期行硅油取出术；无晶体眼则视视网膜复位及视力恢复情况行二期人工晶体植入术。术后随访6～24个月，平均14个月，观察视网膜复位及视力恢复情况。结果52眼均顺利完成了手术。随访期内，视网膜完全复位者48眼（92．31％），其中一次手术复位43眼（82．69％），视网膜部分复位、硅油维持眼3眼，眼球萎缩者1眼。术后视力提高41眼（78．85％），不变者9眼（17．31％），下降者2眼（3．85％）。其中矫正视力0．5以上者11眼（21．15％），0．1～0．4者16眼（30．77％），最佳矫正视力为1．0。结论玻璃体视网膜联合手术是治疗复杂性眼外伤的理想方法，可有效保留伤眼，挽救、维持患者的视功能。Objective To explore the effect of vitreo-retinal surgery for severe ocular trauma. Methods 52 patients （52 eyes） with severe ocular trauma were treated with vitreo-retinal surgeries from July 2005 to September 2007 in our hospital. Followed up from 6 to 24 months, the retina and eyesight were observed. Results All were suecessfully operated on. Retinas were completed attached in 48 eyes（92.31% ） and partially attached in 3 eyes. Visual acuity was improved in 41 eyes （78.85%） in different degrecsandreaehed 0.1 or better in 27 eyes（51.92%）. The best visual acuity was 1.0. Conclusion Vitreo-retinal surgery is an effective method for severe ocular traumas, and with it severely injured eyes can be effectively saved and visual acuity can be improved.

关 键 词：眼外伤 玻璃体视网膜联合术 外科手术 

分 类 号：R779.6[医药卫生—眼科]