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目的探讨不同程度的眼球穿孔伤的处理方法对视力的影响。方法对我院收治的156例(156眼)眼球穿孔伤的处理进行回顾分析。结果156眼中,单纯扣戴角膜接触镜者46眼;角膜缝合57眼,角巩膜缝合52眼(其中拆除原角膜或角巩膜缝线后重新缝合13眼)。上述病例中伴虹膜完整还纳复位65眼,伴虹膜部分剪除缝合44眼,晶状体浑浊或破碎者84眼(其中23例晶状体皮质吸出,61例超声乳化,Ⅰ期人工晶状体植入63眼,Ⅱ期植入21眼);伴眼内异物摘出26眼,1例转院。出院视力数指/30cm~0.05者7眼,0.06~0.1者13眼,0.12~0.3者31眼,0.4~0.8者79眼,≥1.0者25眼。结论正确把握眼球穿孔伤的手术时机,选择恰当的处理方法,是提高治疗效果,恢复较好视力的关键。
Objective To investigate the effect of varying degrees of treatment of ocular perforation injury on visual acuity. Methods A total of 156 cases (156 eyes) with perforation of eyeball treated in our hospital were retrospectively analyzed. Results Of the 156 eyes, 46 eyes were only wearing contact lens, 57 eyes were corneal suture, 52 eyes were corneo - scleral suture. Among them, 13 eyes were re - sutured after the original corneal or scleral suture was removed. In the above cases, 65 eyes were repaired with intact iris, 44 eyes were partially sutured and sutured with iris, 84 eyes were cloudy or disrupted (23 cases of cortical aspiration, 61 cases of phacoemulsification, 63 cases of stage I intraocular lens implantation, 21 eyes implanted); with intraocular foreign body removal of 26 eyes, 1 case of transfer. Discharge visual acuity means / 30cm ~ 0.05 in 7 eyes, 0.06 ~ 0.1 in 13 eyes, 0.12 ~ 0.3 in 31 eyes, 0.4 ~ 0.8 in 79 eyes, ≥ 1.0 in 25 eyes. Conclusion Correct grasp of the operation timing of perforation injury, choose the appropriate treatment is to improve the therapeutic effect, the key to restore better vision.