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对6例累及角膜病变混浊及玻璃体视网膜病变的复杂性眼外伤患者,于临时人工角膜下行三通道睫状体平坦部闭合式玻璃体切除,对1例伴眼内异物、2例伴视网膜脱离患者分别行眼内异物取出,玻璃体腔内复杂操作,如气液交换,眼内冷冻,惰性气体或硅油眼内填充等,使复杂的视网膜脱离复位,同时全部病例行部分穿透性角膜移植,使过去按传统方法需分次手术的复杂眼外伤通过一次手术恢复视力。随访5~12个月,6例病人视力均较术前有不同程度提高,其中1例随访12个月,最佳矫正视力达0.5。结果表明应用临时人工角膜,行联合手术治疗累及眼前后节病变患者,为盲眼及早复明提供了新的治疗方法。
Six patients with complicated ocular trauma involving corneal opacity and vitreoretinopathy were treated with closed corneal three-channel pars plana vitrectomy. One patient with intraocular foreign body and two patients with retinal detachment Intraocular foreign body removal, complex operations in the vitreous cavity, such as gas and liquid exchange, intraocular freezing, inert gas or silicone oil intraocular filling, the complex retinal detachment and reset, while all cases of partial penetrating keratoplasty, the past According to the traditional method to be divided surgery complicated ocular trauma through an operation to restore vision. The follow-up ranged from 5 to 12 months. The visual acuity of 6 patients was improved to some extent compared with that before operation. One case was followed up for 12 months and the best corrected visual acuity was 0.5. The results show that the use of temporary artificial cornea, combined with surgical treatment of ocular anterior and distal lesions in patients with blind and early Fuming provided a new treatment.