玻璃体手术联合人工晶体植入治疗经选择的复杂眼外伤103例

目的：观察累及眼球前后节的复杂外伤患者施行玻璃体手术联合人工晶体植入的视力效果。方法：对１０３例（１０４只眼）复杂眼外伤经一次玻璃体手术联合人工晶体植入的病例进行回顾性研究。结果：本组眼内异物３５例，眼球穿通伤３７例，无眼内异物的爆炸伤９例（１０只眼），眼球钝挫伤２２例。除３例儿童视力不能检查外，在１００例１０１只眼中，手术前视力为无光感～指数的８８只眼（８７．１％）；手术后９４只眼（９３．１％）

Vitrectomy Combined with Intraocular Lens Implantation for 103 Selected Cases of Complicated Ocular Trauma

Purpose: To observe the visual outcome of vitrectomy combined with intraocular lens (IOL) implantation in one operation for patients with complicated ocular trauma. Methods: Clinical records were retrospectively reviewed in 103 patients with complicated ocular trauma (104 eyes) who underwent vitrectomy combined with IOL implantation in one operation. Results: The series of cases included 35 patients with intraocular foreign body (IOFB), 37 with penetrating injury, 9 (10 eyes) with explosive injury but without IOFB, and 22 with blunt trauma. Preoperatively, visual acuity was no-light-perception to counting fingers in 88 eyes (87. 1% ) of 100 patients (101 eyes). Visual acuity improved in 94 eyes (93. 1% ) including 74 eyes (73. 3% ) with 0. 1-1. 5 postoperatively. Retinal detachment occurred in one eye during follow-up and cured with pars plana vitrectomy. Conclusion: Vitrectomy combined with IOL implantation in one operation can be a safe, fast and effective approach for visual recovery in selected patients with complicated ocular trauma. Eye Science 2000; 16: 709 - 111.