严重眼外伤的治疗  

Treatment of severe eye injuries

作　　者：刘杰[1] 皮裕琍[1] 郭青[1] 董莹[1] 尹澜[1] 朱婧[1] 周欢粉[1] 

机构地区：[1]解放军总医院第一附属医院眼科,北京100048

出　　处：《中华眼外伤职业眼病杂志》2014年第1期16-18,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察一期清创缝合术后联合玻璃体切除治疗严重眼外伤的效果。方法20例（20只眼）严重眼外伤眼球一期缝合后采用玻璃体切除联合手术：去除浑浊的屈光间质、直视下摘出异物，处理脱离的视网膜、脉络膜使其复位。眼内炎者玻璃体切除同时行气液交换、眼内注药。结果手术后有一定视力改善者19例（95．0％），仅1例无光感。有效率95．0％。结论严重眼外伤一期正确、适当的清创缝合，适时行玻璃体切除联合视网膜复位术，将更有效的挽救眼球和视功能，是行之有效的手术方法。Objective To observe the results of initial surgical treatment for patients with severe ocular trauma. Methods Twenty eyes of twenty patients with severe ocular trauma were treated with a series of operations including debridement and suture of global wound, vitreetomy, removal of foreign bodies under direct view, reattachment of detached retina and choroid, gas-liquid exchange and intraocular injection of an- tibiotics. Results The visual acuity was improved in 19 cases while the other one patient still had no light perception after surgery. The effective rate of therapy was 95%. Conclusion The initial comprehensive operation, with a combination of debridement and suture of wound, vitrectomy and retina and choroid reat- tachment, is an effective method in reserving eyeball and visual function for severe ocular trauma.

关 键 词：玻璃体切除术 眼外伤 视网膜脱离 眼内异物 

分 类 号：R779.6[医药卫生—眼科]