严重眼球开放性外伤Ⅱ期玻璃体视网膜手术的效果及意义 |
| |
引用本文: | 刘银萍,梅立新,郎平,韦超兵. 严重眼球开放性外伤Ⅱ期玻璃体视网膜手术的效果及意义[J]. 眼外伤职业眼病杂志, 2009, 31(8): 565-567 |
| |
作者姓名: | 刘银萍 梅立新 郎平 韦超兵 |
| |
作者单位: | 皖南医学院弋矶山医院眼科,安徽芜湖241001 |
| |
摘 要: | 目的探讨玻璃体视网膜手术治疗严重眼球开放性外伤的效果及意义。方法对40例(40眼)严重眼球开放性外伤I期清创缝合后Ⅱ期行玻璃体视网膜手术的效果作回顾性分析,术后随访5个月至3年,平均随访(13.18±8.45)个月。结果本组术后40眼中视力较术前提高者29眼,视力不变7眼,视力下降4眼。功能治愈27眼(67.50%);解剖治愈9眼(22.50%);未愈4眼(10.00%)。主要远期并发症有增生性玻璃体视网膜病变和视网膜脱离。结论玻璃体视网膜手术是治疗严重眼球开放性外伤的有效途径,能够最大限度地保留患者的眼球,并保持眼球的外形,部分能挽救视功能。
|
关 键 词: | 眼外伤 玻璃体视网膜手术 |
The therapeutic value of vitreoretinal surgery for severe opened-globe injury |
| |
Affiliation: | LIU gin-ping, MEI Li-xin, LANG Ping, et al( Department of ophthalmology, Yijishan Hospital, Wannan Medical College, Wuhu, Anhui 241001, China) |
| |
Abstract: | Objective To evaluate the clinical effect of Vitreoretinal surgery for severe opened-globe iniury. Methods 40 cases (40 eyes) of severe ocular rupture that underwent Vitreoretinal surgery after primary debridement and suturing were retrospec- tively investigated. The follow up time was 5 months to 3 years, averagely (13.18 ±8.45 ) months. Results In the 40 eyes with vitreoretinal surgery, 29 eyes obtained higher visual acuity post-operatively. And 7 eyes did not change, 4 eyes decreased. The functional cure rate was 67.50%, anatomic cure rate was 22.50%. The main complications were proliferative vitreoretinopathy and retinal detachment. Conclusion Vitreoretinal surgery is effective on treating severe opened-globe injury by maintaining eyeball shape, and restoring an effective vision. |
| |
Keywords: | ocular trauma vitreoretinal surgery |
本文献已被 维普 万方数据 等数据库收录! |
|