眼球破裂伤的手术治疗

为对各种不同严重程度的眼球破裂伤的手术方式及预后进行探讨 ,选取各类眼球破裂伤患者 49例 (5 2眼 ) ,在伤后 48例 (5 1眼 )早期进行急诊伤口探查修补手术 ,并根据需要进行二期玻璃体视网膜手术和 (或 )白内障联合手术。分析其严重程度、采用的不同手术方法及预后之间的关系。结果 :经手术病例 ,术后视力提高 3 4例 (3 6眼 ) ;与术前相同 7例 (7眼 ) ;下降 7例 (8眼 ) ,其中 3例 (3眼 )发生眼球萎缩。提示 :①对眼球破裂伤患者应缜密探查 ,防止遗漏单纯巩膜裂伤病例 ;②是否存在光感不是进行进一步治疗的指征 ;③只要有手术可能 ,都应尝试内眼玻璃体视网膜手术 ,以尽可能挽救患者视力。

Surgical Treatment for Eyeball Rupture

The aim was to cure eyeball rupture by operation. Altogether 48 cases (51 eyes) of kinds of eyeball rupture were treated by earlier-period exploration and mending operation, combined with duo-phase vitrectomy and retinal operation and (or) cataract extraction on the basis of demand to analyze the relation of the severity of the wound, kinds of operation and prognosis. The visual acuity 34 cases(36 eyes) improved, 7 cases(7 eyes) without chang and 7 cases(8 eyes) decreased, among whom 3 cases (3 eyes) occurred atrophy. Conclusion: Deliberate exploration may prevent omitting simple scleral rupture; Whether the wounded eye has vision of LP or not is not the indication of making further operation. It's necessary to do best to save patients' visual acuity by trying vitrectomy and retinal operation as long as opportunity exists.