玻璃体视网膜联合术治疗复杂性眼外伤52例

目的〓〖HTK〗评价玻璃体视网膜联合手术治疗复杂性眼外伤的效果。 〖HTW〗方法〓〖HTK〗分析52例（52眼）复杂性眼外伤患者的治疗及愈后过程。采用玻璃体视网膜联合手术，对合并白内障影响后节手术操作者，先行晶状体切除术或晶状体超声粉碎术，术毕行长效气体或硅油等充填玻璃体腔，硅油填充眼视眼部情况择期行硅油取出术；无晶体眼则视视网膜复位及视力恢复情况行二期人工晶体植入术。术后随访6～24个月，平均14个月，观察视网膜复位及视力恢复情况。 〖HTW〗结果〓〖HTK〗52眼均顺利完成了手术。随访期内，视网膜完全复位者48眼（92.31%），其中一次手术复位43眼（82.69%），视网膜部分复位、硅油维持眼3眼，眼球萎缩者1眼。术后视力提高41眼（78.85%），不变者9眼（17.31%），下降者2眼（3.85%）。其中矫正视力0.5 以上者11眼（21.15 %），0.1～0.4者16眼（30.77%），最佳矫正视力为1.0。 〖HTW〗结论〓〖HTK〗玻璃体视网膜联合手术是治疗复杂性眼外伤的理想方法，可有效保留伤眼，挽救、维持患者的视功能。

Vitreo-retinal surgery for severe ocular trauma in 52 cases

Objective〓〖WTBZ〗To explore the effect of vitreo-retinal surgery for severe ocular trauma. 〖WTHZ〗Methods〓〖WTBZ〗52 patients (52 eyes) with severe ocular trauma were treated with vitreo-retinal surgeries from July 2005 to September 2007 in our hospital. Followed up from 6 to 24 months, the retina and eyesight were observed. 〖WTHZ〗Results〓〖WTBZ〗All were successfully operated on. Retinas were completed attached in 48 eyes(92.31%) and partially attached in 3 eyes. Visual acuity was improved in 41 eyes (78.85%) in different degrees and reached 0.1 or better in 27 eyes (51.92%). The best visual acuity was 1.0. 〖WTHZ〗Conclusion〓〖WTBZ〗Vitreo-retinal surgery is an effective method for severe ocular traumas, and with it severely injured eyes can be effectively saved and visual acuity can be improved.