玻璃体视网膜手术治疗严重眼外伤  

Treatment of severe ocular injuries with vitreoretinal surgery.

作　　者：谢江斌[1] 王绍莉[2] 方一明[1] 王文伟[2] 

机构地区：[1]福建泉州市儿童医院泉州北京同仁眼科中心,362000 [2]北京同仁医院眼科

出　　处：《眼外伤职业眼病杂志》2001年第1期46-47,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　探讨玻璃体视网膜手术在严重眼外伤的手术适应证及手术时机。方法　对 15例眼球穿孔伤 ,其中 5例眼内金属异物 ,3例眼球挫伤。晶状体摘出术 3例 ,晶状体玻璃体切除、巩膜外冷凝、环扎 12例 ,其中 4例加视网膜复位、眼内填充术。结果　 15例术后随访 3～ 15月 ,平均 9月 ,功能痊愈 8例占5 3 5 % ,解剖痊愈 6例占 40 % ,未愈 1例占 6 5 %。结论　玻璃体视网膜手术是治疗严重眼外伤的有效手段。To evaluate operative indication and opportunity of vitreoretinal surgery for severe ocular injuries. Methods 12 eyes perforating wound of eyeball, including 5 eyes intraocular metal foreign body, 3 eyes contusion, 3 eyes vitrectomy, 12 eyes lensvitrectomy, scleral encircling,cryocoagula, including 3 eyes extraction of intraocular foreign body, 4 eyes retinal reposition, intraocular tamponade operation. Results After operation, 15 eyes were followed up 3～15 months averaging 9 months,the functive cure rate is 53.5% (8 eyes),the anatomic cure rate, is 40% (6 eyes),1 case does not cure. Conclusion Vitreoretinal surgery is an effective method for severe ocular injury, selection of proper operative opportunity is very important for patient's vision and prognosis.

关 键 词：眼外伤 玻璃体视网膜手术 适应证 手术时机 

分 类 号：R779.6[医药卫生—眼科]