论文部分内容阅读
本文对２２眼复杂性眼球穿破伤采用闭合式玻璃体切除术处理，较好地恢复伤眼前段的正常生理解剖，避免虹膜前粘连、瞳孔膜闭、继发性青光眼、角膜内皮失代偿及外伤引起的视网膜脱离致增殖性玻璃体视网膜病变等并发症的发生。手术时可直视下了解眼球后段情况以便同时联合施行后段眼内显微手术挽救眼球和视力。本组２２眼的术前视力仅１眼为０．３，２１眼全为光感。术后裸眼视力均有不同程度提高，其中达０．１以上者７眼占３２％。本文并讨论了手术指征、手术时机及手术技术。
In this paper, 22 cases of complex penetrating traumatic eye closure closed vitrectomy, the better recovery of normal physiological anatomy of the injured anterior segment, to avoid prehistoric adhesions, pupil membrane closure, secondary glaucoma, corneal endothelial decompensation and Traumatic retinal detachment caused by proliferative vitreoretinopathy and other complications. Under direct vision can understand the situation of the posterior segment of the eye so that at the same time combined with intraocular microsurgery to save the eye and vision. The group of 22 eyes preoperative visual acuity was only 0.3 eyes, 21 eyes were all light perception. Postoperative uncorrected visual acuity was improved to varying degrees, of which more than 0.1 and 7 eyes accounted for 32%. This article also discusses surgical indications, timing of surgery, and surgical techniques.