论文部分内容阅读
目的 探索将全部玻璃体切除的方法在眼外伤手术中应用的价值及效果。方法 回顾性序列病例研究。85例(85眼)眼外伤中,闭合性眼外伤17例,开放性眼外伤68例。其中眼内异物伤3 2例、巨大裂孔17例和外伤性视网膜脱离3 4例。增生性玻璃体视网膜病变分级:A级6例,B级8例,C级8例,D级12例。采用标准经睫状体平坦部三通道玻璃体切除术,并通过巩膜压陷法切除基底部玻璃体。结果 在无晶状体眼和有晶状体眼,充分全玻璃体切除术78例,部分全玻璃体切除7例。最终随访81例,初次手术成功73例(90 . 12 %) ,再次玻璃体视网膜手术4例,最终视网膜保持平复77例(95 . 0 6%)。视力在0 . 0 6以上者42眼,与术前相比差异具有非常显著意义(P <0 . 0 0 5 )。结论 眼外伤手术中全玻璃体切除技术切实可行,可减少玻璃体残留所致的并发症,提高手术效果。
Objective To explore the value and effect of total vitrectomy in ocular trauma surgery. Methods Retrospective sequence case study. In 85 eyes (85 eyes) of ocular trauma, closed ocular trauma in 17 cases, open ocular trauma in 68 cases. Among them, 32 cases of intraocular foreign body injury, 17 cases of huge hiatus and 34 cases of traumatic retinal detachment. Proliferative vitreoretinopathy grading: A grade in 6 cases, B grade in 8 cases, C grade in 8 cases, D grade in 12 cases. A standard transscleral three-channel vitrectomy was used and the basal vitreous was excised by scleral buckling. Results in aphakia and phakic eyes, full vitrectomy in 78 cases, partial vitrectomy in 7 cases. The final follow-up of 81 cases, the first successful surgery 73 cases (90.12%), vitreoretinal surgery again in 4 cases, the final retina remained smooth 77 cases (95.6%). The visual acuity was above 0.060 in 42 eyes, which was significantly different from preoperative values (P <0.05). Conclusion The whole vitrectomy in ocular trauma surgery is feasible and can reduce the complications caused by vitreous remnants and improve the surgical results.