严重眼球外伤的玻璃体手术治疗

目的总结玻璃体手术治疗严重眼球外伤的视力后果。方法回顾性分析1996年11月至1998年4月间经玻璃体手术治疗的严重眼外伤188例191只眼的临床资料。结果191只眼中眼球穿通伤56只眼，眼后节异物70只眼，眼球钝挫伤41只眼，眼球破裂24只眼。其中合并眼内炎35只眼，脉络膜出血20只眼，视网膜脱离60只眼，玻璃体积血97只眼。玻璃体手术后，除3只眼因患者年幼不能测视力外，其余的188只眼中，133只眼视力提高，占70.7%，其中0.02-1.0者占45.2%；46只眼不变，占24.5%；9只眼下降，占4.8%。术前34只无光感眼中，12只眼恢复光感以上视力。结论经过适时、恰当的玻璃体手术治疗，大多数严重外伤眼的视力可得到相当程度的挽救。(中华眼底病杂志,1999,15:4-6)

Vitreous surgery for severe ocular trauma

ObjectiveTo summarize the visual outcome of patients with severe ocular trauma treated with vitreous surgery.MethodsClinical data of 188(191 eyes) with severe ocular trauma treated with vitreous surgery in a period from November 1996 to April 1998 were analysed retrospectively.ResultsThe study included penetrating injury in 56 eyes, foreign bodies in the posterior segment in 70 eyes, blunt injury in 41 eyes , and globe rupture in 24 eyes. Main complications included endophthalmitis in 35 eyes, choroidal bleeding in 20 eyes, retinal detachment in 60 eyes, and vitreous hemorrhage in 97 eyes. Post-opera-tively, out of 188 eyes, except for 3 of patients too young to examine, visual acuity improved in 133(70.7%), including 85(45.2%) with visal acuity 0.02-1.0, 46(24.5%) remained unchanged; and 9(4.8%) had worse vision. Among 34 with no-light-perception, 12 had light-perception or over.ConclusionA majority of severe trauma eyes can be salvaged with considerable visual recovery after adequate and timely vitreous surgery.(Chin J Ocul Fundus Dis,1999,15:4-6)