复杂眼外伤的玻璃体切除联合手术治疗

目的:探讨玻璃体切除联合手术治疗复杂眼外伤的疗效。方法:玻璃体切除联合白内障摘除、人工晶状体Ⅱ期植入、眼内异物摘出、视网膜脱离复位治疗复杂眼外伤26例26眼。结果:术后视力较术前提高者19眼,视力不变者6眼,视力下降者1眼;眼内炎2眼感染控制,眼内异物9眼均一次成功摘出,视网膜脱离成功复位者5眼,眼球萎缩1眼。结论:选择恰当的手术时机,合理的手术方案,对挽救眼球和恢复视功能起着决定性作用。

Vitreous surgery for complicated ocular trauma

AIM:To evaluate the effects of vitreous surgery in the treatment of complicated ocular trauma. ·METHODS: Twenty-six cases (26 eyes ) with complicat-ed ocular trauma underwent vitrectomy and combined surgery(Vitrectomy combined with cataract extraction,intraocular lens implantation in the Ⅱ period,removal of intraocular foreign bodies,retinal detachment reset). ·RESULTS: Postoperative visual acuity was improved in 19 eyes,remained unchanged in 6 eyes ,and decreased in 1 eye. Endophthalmitis had been controlled in 2 eyes;Intraocular foreign bodies in all patients were extracted by one time;total retinal reposition was performed in 5 eyes successfully,and atrophy of eyeball occurred in 1 eye. ·CONCLUSION:Vitrectomy is an effective surgery for complicated ocular trauma. Appropriate operation occa-sion and project are determinants to save the eye and restore the visual function.