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严重眼球穿通伤,尤其是晶体和玻璃体同时受伤,由于伤后眼内纤维组织增生引起牵拉性视网膜脱离及眼球痨等严重并发症,往往导致眼失明,其失明率为42～70％。过去,对严重眼球穿通伤后玻璃体的处理,曾一度认为是一个“手术禁区”。直到1968年Kasner提出眼球可以耐受切除大部分玻璃体而不造成损害这个新观点后,Machemer(1970)首创玻璃体切割注吸器(VISC)后,打开了玻璃体这个手术禁区。此后,在防治眼球穿通伤后并发症方面取得了划时代的进展。就眼球穿通伤的预后而言,伤后及时地对晶体和玻璃体进行处理,是提高伤眼解剖整复和复明率的关键。以下仅就1979～1984年有关文献综述如下。
Severe penetrating eye injury, especially in the crystal and vitreous at the same time injury, due to injury intraocular fibrosis caused by traction retinal detachment and eyeball 痨 and other serious complications, often lead to blindness, the blind rate of 42 to 70%. In the past, the treatment of vitreous after severe penetrating eye injury was once considered a “surgical area.” It was not until 1968 when Kasner proposed that the eye be resistant to the new idea of resecting most of the vitreous without causing damage. After the Machemer (1970) first vitrectomy and aspiration device (VISC), the surgery for vitreous was opened. Since then, epoch-making progress has been made in the prevention and treatment of post-traumatic complications. In terms of the prognosis of penetrating eye injury, the timely treatment of the lens and the vitreous body after injury is the key to improve the anatomic recovery and the rate of recanalization. The following is only a summary of the literature from 1979 to 1984 below.