玻璃体视网膜手术治疗严重角巩膜裂伤的临床疗效

目的:探讨、评价并分析玻璃体视网膜手术治疗严重角巩膜裂伤的临床疗效。方法:对我院2009-03/2010-03住院的37例37眼角巩膜裂伤患者行玻璃体切割术治疗,根据术中视网膜情况辅以硅油充填、视网膜激光光凝。结果:手术后随访3～6(平均5)mo,随访中行视力、最佳矫正视力、眼压及眼底检查,部分患眼进行了眼B超、OCT和眼底照相检查。患者中31例31眼玻璃体腔清晰,视网膜复位良好,其中≥0.1者由术前2眼增加到术后的11眼,术后视力不同程度提高28例28眼,术后视力无变化3例3眼;6例6眼术前术后视力无光感,因术后眼球萎缩行眼球摘除联合义眼台植入。结论:玻璃体切割术是治疗严重角巩膜裂伤的有效方法。早期手术治疗,可使大多数患者术后患眼视功能改善,并发症少,手术安全有效。

Clinical research on the effect of vitreoretinal surgery for severe corneoscleral laceration

AIM:To investigate, evaluate and analyze the clinical efficacy of vitreoretinal surgery in the treatment of severe corneoscleral laceration. METHODS:From 2009- 03 to 2010- 03 in our hospital, 37 cases (37 eyes) of hospitalized patients with corneoscleral laceration underwent vitrectomy, according to intraoperative conditions combined with silicone oil filling and retinal laser photocoagulation. RESULTS:Post-operative follow-up was 3 to 6(average 5)months with visual acuity, best corrected visual acuity, int...