儿童穿孔性眼外伤玻璃体视网膜手术治疗分析  

Vitreoretinal surgery for children with ocular trauma

作　　者：任兵[1] 罗英[1] 高晓唯[1] 周昕[1] 高云仙[1] 田艳明[1] 李保江[1] 

机构地区：[1]解放军第474医院眼科全军眼科中心,乌鲁木齐830013

出　　处：《临床眼科杂志》2009年第6期542-543,共2页Journal of Clinical Ophthalmology

摘　　要：目的探讨儿童穿孔性眼外伤玻璃体视网膜手术的效果。方法用玻璃体切割器施行玻璃体切除联合眼内异物取出、外伤性白内障切除、松解视网膜、玻璃体腔注药、激光光凝及眼内填充惰性气体或硅油等治疗儿童穿孔性眼外伤169例(169只眼)。结果功能痊愈135例(79.9%),解剖痊愈22例(13.0%),未愈12例(7.1%)。视力≤0.02者12例(7.1%),视力>0.02者85例(50.3%),视力≥0.1者68例(40.2%)。眼内炎症100%控制,眼内异物取出100%。结论玻璃体视网膜手术是治疗儿童穿孔性眼外伤最有效的方法。Objective To investigate the effects of vitreoretinal surgery for children with ocular trauma. Methods Vitrectomy combine with intraocular foreign body taking,lensectomy,retina solution,vitreous injection,laser photo-coagulation and inergas or silicone tamponade were used of 169 cases. Results Curing 135 cases functionally（79.9%）,curing 22 cases anatomically（13.0%）,nulli-curing 12 cases（7.1%）.The visual acuities were：lower than 0.02 in 12 cases（7.1%）,higher than 0.02 in 85 cases（50.3%）,higher than 0.1 in 68 cases（40.2%）. The endophthalmitis controlling was 100%,the intraocular foreign body taking was 100%. Conclusion Vitreoretinal surgery is the most effective treatment for children with ocular trauma.

关 键 词：儿童 穿孔性眼外伤 玻璃体视网膜手术 

分 类 号：R779.6[医药卫生—眼科] R779.1[医药卫生—临床医学]