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

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。

The therapeutic value of vitreoretinal surgery for severe opened-globe injury

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.