摘要
目的评价玻璃体手术对眼钝挫伤引起的眼底损伤的疗效。方法对１９９２年１０月～１９９８年３月连续收治的、经玻璃体手术治疗的眼球钝挫伤１０１例（１０５只眼）作回顾性研究。结果按伤情分为４组：玻璃体积血２３只眼，玻璃体积血伴视网膜脉络膜破裂或视神经损伤２５只眼，外伤性视网膜脱离４６只眼以及视网膜巨大裂孔１１只眼。手术后７７只眼（７３．３％）视力改善，其中０．０２～０．６者占６５．７％（３８只眼在０．１～０．６，占５５．０％），２只无光感眼恢复了０．１以上视力，２６只眼（２４．８％）视力不变；２只眼（１．９％）视力下降。视网膜复位５４只眼，占视网膜脱离及视网膜巨大裂孔者的９４．７％。结论严重眼球钝挫伤可造成多种眼底损害和视力丧失，适时的玻璃体手术可挽救大多数伤眼。
Purpose To evaluate the efficacy of vitreous
surgery for treatment of fundus damages caused by ocular blunt trauma. Methods Clinical
records were reviewed retrospectively for a series of consecutive 101 patients (105 eyes)with
fundus damages caused by ocular blunt trauma underwent vitreous surgery from October 1992
to March 1998. Results Based on clinical examination and findings during surgery,all cases
were divided into 4 subgroups:vitreous hemorrhage(VH)in 23 yes,VH with retinochoroidal
rupture or optic damage in 25 eyes,traumatic retinal detachment in 46 eyes,and retinal giant
tear in 11 eyes.Vision acuityimprovementachieved in 77 eyes(73.3%)and of them 69
eyes(65.7%)had 0.020.6with 38 eyes(55.0%)better than 0.1.Two eyes with no light perception
obtained better than 0.1. Visual acuity remained unAuthor changed in 26 eyes(24.8%)and 2
eyes(1.9%)became worse after operation.The retina reattached in 54 eyes(94.7%). Conclusion
Severe ocular blunt trauma may cause visual impairment and various fundus
damages.Appropriate vitreous surgery can salvage most eyes with those injuries.
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
1999年第2期100-102,共3页
Chinese Journal of Ocular Fundus Diseases
基金
国家自然科学基金
关键词
眼外伤
玻璃体切除术
钝挫伤
Eye
injuries/surgeryRetinal detachment/surgeryVitrectomyEye hemorrhage
