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目的探讨玻璃体手术治疗严重眼外伤的影响预后治疗效果的因素。方法对93例(93眼)严重眼外伤行玻璃体切除手术的资料行回顾性分析。结果手术成功84眼(90.32%),失败9眼(9.68%)。术前视力≥0.02者手术成功率高于术前视力<0.02者;术前合并视网膜脱离者治疗效果明显差于无视网膜脱离者;在外伤后7～14d内接受玻璃体手术者手术成功率明显高于7d以内与14d以后手术者。结论伤眼术前视力、视网膜脱离的发生与手术时机的选择是影响伤眼手术后视力的重要因素。
Objective To investigate the factors that influence the prognosis of severe ocular trauma after vitrectomy. Methods Data of 93 cases (93 eyes) of severe ocular trauma undergoing vitrectomy were analyzed retrospectively. Results The operation was successful in 84 eyes (90.32%) and failed in 9 eyes (9.68%). Preoperative visual acuity ≥ 0.02 of the surgical success rate was higher than preoperative visual acuity <0.02; preoperative retinal detachment were significantly less effective in treatment of retinal detachment; within 7 to 14 days after traumatic vitrectomy surgery was significantly higher success rate Within 7d and 14d after surgery. Conclusion Occurrence of preoperative visual acuity, retinal detachment and the timing of surgery is an important factor affecting visual acuity after traumatic surgery.