临时人工角膜下玻璃体视网膜手术联合穿透性角膜移植手术患者的护理

目的 探讨临时人工角膜下行玻璃体视网膜手术联合穿透性角膜移植手术治疗复杂眼外伤以及眼前后段病变的围手术期护理要点.方法 分析了21例(21眼)行玻璃体视网膜手术联合穿透性角膜移植手术患者的临床资料,评估手术前后的护理问题,采取相应的护理对策.结果 16眼术后视力较术前有所提高,实现了脱盲;另5眼视力较术前无提高.术后通过有效护理措施,使护理问题得到解决. 结论 尽管联合手术的视功能恢复有限,但对患者脱盲有一定贡献,做好手术前后的护理是保证手术成功的重要环节.

Nursing of patients undergoing vitreoretinai surgery under temporary keratoprosthesis combined with penetrating keratoplasty

Objective To discuss the perioperative nursing points of vitreoretinal surgery under tempo-rary kerstoprosthesis combined with penetrating keratoplasty for treatment of complex ocular trauma and anteri-or and posterior ocular segment lesion. Methods Clinical data of 21 patients (21 eyes) undergoing vitreo-retinal surgery under artificial cornea combined with penetrating keratoplasty were analyzed, perioperative nursing problems were evaluated and corresponding nursing measures were adopted. Results Visual acuity of 16 eyes were greatly improved,other 5 eyes showed no amelioration.By effective nursing mea-sures, all nursing problems were settled. Conclusions Although the functional outcome of a combined procedure is limited,it contributes to preserve vision of patients. Good periopertive nursing is pivotal for successfal operation.