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玻璃体切除术治疗眼部创伤的临床效果分析
引用本文:坑彩霞,徐艳萍,王绍莉,张健. 玻璃体切除术治疗眼部创伤的临床效果分析[J]. 国际眼科杂志, 2010, 10(4): 771-773. DOI: 10.3969/j.issn.1672-5123.2010.04.056
作者姓名:坑彩霞  徐艳萍  王绍莉  张健
作者单位:1. 中国北京市监狱管理局中心医院眼科,100054
2. 首都医科大学北京同仁眼科中心,中国北京市,100730
3. 首都医科大学宣武医院眼科,中国北京市,100053
摘    要:目的:探讨玻璃体手术治疗眼部创伤的临床相关因素及治疗效果。方法:对70例72眼眼创伤导致视功能受损患者行玻璃体切除手术的资料进行回顾性分析。结果:一次手术视功能较术前改善58眼(80%),不变12眼(17%),下降2眼(3%),30例视网膜脱离患者中,27眼达到视网膜解剖复位(90%)。3眼(10%)视网膜脱离严重与增殖机化粘连无法完全复位,或脉络膜脱离无法复位。结论:玻璃体切除手术是目前治疗严重眼后段创伤的理想方法,伤眼受伤程度、视网膜受伤程度、手术过程是影响手术预后的重要因素。

关 键 词:玻璃体切除  眼部创伤  视网膜脱离  眼内异物

Analysis of efficacy of vitrectomy for ocular trauma
Cai-Xia Keng,Yan-Ping Xu,Shao-Li Wang and Jian Zhang. Analysis of efficacy of vitrectomy for ocular trauma[J]. International Eye Science, 2010, 10(4): 771-773. DOI: 10.3969/j.issn.1672-5123.2010.04.056
Authors:Cai-Xia Keng  Yan-Ping Xu  Shao-Li Wang  Jian Zhang
Affiliation:Department of Ophthalmology,Center Hospital of Beijing Prison Administration Bureau Central Hospital, Beijing 100054,China;Department of Ophthalmology,Center Hospital of Beijing Prison Administration Bureau Central Hospital, Beijing 100054,China;Eye Center, Beijing Tongren Hospital,Capital Medical University, Beijing 100730,China;Department of Ophthalmology, Xuanwu Hospital Capital Medical University, Beijing 100053, China
Abstract:AIM:To investigate the relevant factors and clinical efficacy of vitreous surgery on ocular trauma. METHODS:A retrospective review was carried out in 70 cases (72 eyes) of ocular trauma received vitrectomy. RESULTS:The retina was reattached in 27 eyes (90%) postoperatively.Visual acuity after operation improved in 58 eyes(80%),not changed in 12 eyes(17%)and decreased in 2 eyes(3%). CONCLUSION:Vitrectomy is an effective method for complicated ocular trauma.Injured degree of eyeball and retina,the procedure of operation are the important factors of the visual outcome.
Keywords:vitrectomy  ocular trauma  retinal detachment  intraocular foreign body
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