20G联合23G玻璃体切除术在外伤性晶状体完全后脱位中的应用

目的探讨20G联合23G玻璃体切除技术在外伤性晶状体完全后脱位中的应用及临床疗效。方法回顾分析2013年1月-2013年12月行20G联合23G玻璃体切除术治疗外伤性晶状体完全后脱位共23例的临床资料,观察手术效果及并发症发生的情况。结果 21例（21眼）完成玻璃体联合晶状体切除。术后至随访期结束：86.96%的病例矫正视力有不同程度的提高;术前存在继发性青光眼者术后眼压均控制在正常范围;术后未出现持续性低眼压、感染性眼内炎等严重并发症。结论 20G联合23G玻璃体切除技术是治疗外伤性晶状体完全后脱位的安全、有效方法。

Combined 20-gauge and 23-gauge pars plana vitrectomy in the management of traumatic lens dislocation

Objective To investigate the clinical usage and efficacy of a combination of 20-gauge（20G） and 23-gauge（23G） pars plana vitrectomy in the management of traumatic lens dislocation. Methods Clinical records were reviewed retrospectively for a series of consecutive 23 patients of traumatic lens dislocation, who underwent combined 20 G and 23 G pars plana vitrectomy form January to December 2013. The effects and complications of surgery were observed and evaluated. Results 21 cases（21 eyes） underwent vitrectomy and lensectomy successfully。 20 eyes（86.96%） achieved improved visual acuity; IOP were controlled in the normal range in all eyes; NO serious complications occurred such as persistent low IOP and endophthalmitis. Conclusions The combination of 20 G and 23 G pars plana vitrectomy is an effetive and safe procedure for management of traumatic lens dislocation.