诊断性玻璃体切割判断眼外伤无光感眼视力预后  

Pars plana vitrectomy evaluating vision prognosis in eye injuries with non-light perception

作　　者：李学晶[1] 张守康[1] 唐由之[1] 

机构地区：[1]中国中医科学院眼科医院,中国北京市100040

出　　处：《国际眼科杂志》2012年第6期1128-1131,共4页International Eye Science

摘　　要：目的:通过对眼外伤后无光感眼行诊断性玻璃体切割术,判断伤情,决定具体的手术方式。方法:对8例8眼眼外伤视力无光感的患者行2期玻璃体切割术。结果:术后无光感5眼,1眼FC,1眼HM,1眼0.05。术中改术式为眼内容剜除+羟基磷灰石义眼台植入2眼,1眼4mo后眼球摘除,3眼硅油眼。结论:诊断性玻璃体切割可估计眼外伤伤情、决定术式。AIM：To select suitable surgery by pars plana vitrectomy（PPV） evaluating severity of the ocular trauma and vision prognosis in eye injuries with non-light perception. METHODS： Eight cases（8 eyes）with non-light perception in complicated ocular trauma were treated with vitrectomy surgery. RESULTS：After the surgery, non-light perception was in 5 eyes, finger counting in 1 eye, hand motion in 1 eye, 0.05 in 1 eye. In the operation, the author altered the way of performing operation to evisceration and orbital implant of hydroxyapatite in 2 eyes, eyeball enucleating in 1 eye 4 months after vitrectomy surgery, silicone oil tamponade in the other 3 eyes. CONCLUSION： PPV can evaluate severity of the ocular trauma and select the suitable operation method.

关 键 词：玻璃体切割术 眼外伤 无光感 视力 

分 类 号：R779.6[医药卫生—眼科]