严重眼外伤玻璃体手术后并发症分析

目的探讨严重眼外伤玻璃体手术治疗效果、术后并发症及防治。方法53例(53眼)严重眼外伤行玻璃体手术治疗,对其术后效果和术后并发症进行回顾性分析。结果术后视力较术前提高者38眼(71.70%),但部分患眼出现不同程度的并发症,包括角膜水肿、角膜上皮愈合不良、高眼压、视网膜干性裂孔、视网膜脱离、白内障、眼内出血、眼球萎缩等。结论严重眼外伤进行玻璃体手术能挽救大多数受伤眼球并恢复一定的有用视力,但对术后出现的并发症应重视并积极预防治疗,以提高玻璃体手术的效果。

Complications after vitrectomy in severe ocular trauma

Objective To explore the operative efficacy, postoperative complications and their control concerning severe ocular trauma treated with vitrectomy. Methods 53 cases (53 eyes) of severe ocular trauma underwent vitrectomy and postoperative efficacy and complications was analyzed. Results Postoperative visual acuity of 38 eyes was better than before operation, but some cases developed different degrees of complications,including corneal hydrops and cloudiness, and poor healing of corneal epithelium, high intraocular pressure, retinal breaks without retinal detachment, retinal detachment, cataract,intraocular bleeding, atrophy of the eyeball, etc. Conclusion Vitrectomy of severe ocular trauma can save most injured eyeballs, and restore their visual acuity to a certain degree.However, importance should be attached to the postoperative complications and their controls in order to improve the efficacy of vitrectomy.