目的:探讨玻璃体手术治疗眼部创伤的临床相关因素及治疗效果。方法:对70例72眼眼创伤导致视功能受损患者行玻璃体切除手术的资料进行回顾性分析。结果:一次手术视功能较术前改善58眼(80%),不变12眼(17%),下降2眼(3%),30例视网膜脱离患者中,27眼达到视网膜解剖复位(90%)。3眼(10%)视网膜脱离严重与增殖机化粘连无法完全复位,或脉络膜脱离无法复位。结论:玻璃体切除手术是目前治疗严重眼后段创伤的理想方法,伤眼受伤程度、视网膜受伤程度、手术过程是影响手术预后的重要因素。

AIM:To investigate the relevant factors and clinical efficacy of vitreous surgery on ocular trauma. METHODS:A retrospective review was carried out in 70 cases (72 eyes) of ocular trauma received vitrectomy. RESULTS:The retina was reattached in 27 eyes (90%) postoperatively.Visual acuity after operation improved in 58 eyes(80%),not changed in 12 eyes(17%)and decreased in 2 eyes(3%). CONCLUSION:Vitrectomy is an effective method for complicated ocular trauma.Injured degree of eyeball and retina,the procedure of operation are the important factors of the visual outcome.

R779.6