角膜入路23-G玻璃体切除在眼外伤的应用  

Application of 23-G vitrectomy via cornea approach in ocular trauma

作　　者：李超鹏[1] 李甦雁[1] 靳雷[1] 

机构地区：[1]徐州市第一人民医院徐州市眼病防治研究所,江苏221002

出　　处：《中华眼外伤职业眼病杂志》2013年第11期815-817,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察透明角膜入路的23-G微创玻璃体手术在一期眼外伤处理中的效果。方法回顾性系列病例研究。对26例（26只眼）复杂眼外伤采用角膜入路的晶状体切除及前部玻璃体切除术：在近角膜缘的透明角膜上用23-G穿刺刀做两个切口，分别置微套管，一侧与灌注管相连，另一侧伸入玻切头。通过两个微套管进行角膜入路的晶状体切除及前段玻璃体切除。结果术中无并发症发生，术后随访结束时最佳矫正视力0．5及以上者3只眼（11．54％），0．1～0．4者8只眼（30．77％），0．02—0．08者12只眼（46．15％），数指及以下者3只眼（11．54％）。术后第3天平均眼压为（13．26±4．83）mmHg，术后第7天平均眼压为（14．65±3．91）mmHg（1mmHg=0．133kPa）。18只眼二期植入人工晶状体，9眼经玻璃体视网膜手术处理后，视网膜复位，保留了眼球。结论透明角膜入路的23．G微创玻璃体手术是一期处理眼外伤的有效方法。Objective To investigate the effect of first-stage 23-G vitrectomy via cornea approach in the treatment of ocular trauma. Methods This retrospective study involved a total of 26 eyes from 26 patients who suffered from complicated ocular trauma. Lensectomy and anterior vitrectomy via cornea approach were performed： two incisions were made using a 23-G stab knife in transparent cornea near limbus. Trocars were inserted：one connected to the infusion tube and the other made the vitreous cutter enter anterior chamber. Results No complications occured during the operations. The postoperative best corrected visual acuity was better than 0.5 in 3 eyes（ 11.54% ） , from 0.1 to 0.4 in 8 eyes（30.72% ）, from 0.02 to 0.08 in 12 eyes（46.15% ） , less than CF in 3 eyes（ 11.54% ） . The mean lOP at 3 days and 1 week after surgery was （ 13.26 ±4.83） mmHg and （ 14.65 ±3.91 ） mmHg respectively. The intraoeular lens （IOL） were implanted in 18 eyes later. 9 eyes had retinal reattachment after timely vitreoretinal surgery. Conclusion Firststage 23-G vitrectomy via cornea approach is very effective for the complicated ocular trauma.

关 键 词：玻璃体切除 23-G 眼外伤 

分 类 号：R779.6[医药卫生—眼科]