角巩膜破裂伤牵引性视网膜脱离的二期玻璃体手术  

Clinical treatment of the corneal and scleral rupture associated with tractive retinal detachment through secondary vitreous surgery.

作　　者：曾水清[1] 徐莉莉[1] 程扬[1] 曾爱萍[1] 

机构地区：[1]同济医科大学附属协和医院眼科,430022

出　　处：《眼外伤职业眼病杂志》2001年第4期365-366,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　临床观察角巩膜破裂伤合并牵引性视网膜脱离的二期玻璃体手术 (玻切 )治疗效果。方法　对 1996年至2 0 0 0年收治的 14例患者 (14眼 )作回顾性研究。结果　出院时视网膜解剖学复位 11例 ,失败 3例。视力增进 11例 ,不变 3例。结论　二期玻切是治疗角巩膜破裂伤合并牵引性视网膜脱离的有效方法。Objective To evaluate the clinical efficacy of secondary vitreous surgery in the corneal and scleral rupture associated with tractive retinal detachment.Methods The fourteen eyes during 1996～2000 were treated by vitrectomy and reviewed.Results Of 14 eyes,11 eyes attained anatomic success,3 eyes failed.Postoperative visual acuity improved in 11 eyes.Conclusion Vitrectomy procedures are an effective model to treat the corneal and scleral rupture associated with tractive retinal detachment.The main cause of operative failures was relating to the excessive periretinal fibrosis and scarring around optic disc.

关 键 词：眼外伤 角巩膜破裂伤 视网膜脱离 玻璃体切除术 

分 类 号：R779.6[医药卫生—眼科]