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目的:观察儿童外伤性视网膜脱离的临床特征。方法:回顾性分析36例儿童外伤性视网膜脱离的临床表现,手术方式及影响预后的相关因素。结果:出院时视网膜脱离复位26例,有2个月以上随访记录的13例中,术后2个月脱离视网膜复位、视力提高6例,3例复查视力无变化,但视网膜脱离复发1例,另2例虽无复发但有PVR形成。1例视网膜360°切开,术后3 a随访视网膜无脱离、无增殖。结论:眼外伤是儿童视网膜脱离的主要原因,巩膜外加压术、玻璃体切割术是治疗复杂性儿童视网膜脱离的有效方法之一。
Objective: To observe the clinical features of traumatic retinal detachment in children. Methods: A retrospective analysis of 36 children with traumatic retinal detachment clinical manifestations, surgical methods and prognostic factors. Results: At the time of discharge, there were 26 cases with retinal detachment reset. Among the 13 cases with follow-up of more than 2 months, 6 cases recovered from retinal reattachment 2 months after operation, visual acuity improved in 6 cases, no change in visual acuity in 3 cases, The other two cases without recurrence but PVR formation. 1 case of 360 ° incision retinal detachment retinal detachment after 3 a follow-up, no proliferation. Conclusion: Ocular trauma is the main reason of retinal detachment in children. Extra-scleral compression and vitrectomy are effective methods to treat retinal detachment in children.