早期玻璃体切除术治疗重症外伤性眼内炎的疗效
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Effect of early vitrectomy combined with silicone oil tamponade for severe infectious traumatized endophthalmitis
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    摘要:

    目的:探讨玻璃体切割联合硅油填充手术的手术时机对治疗重症感染性眼内炎疗效的影响。

    方法:回顾性分析59例重症外伤性眼内炎病例,按手术时机不同分为两组,≤24h患者为A组; >24h为B组,均接受玻璃体切割联合硅油填充手术,观察两组患者术中视网膜情况、术后疗效及术后最佳矫正视力(best corrected visual acuity,BCVA)的区别。

    结果:≤24h手术患者术中可见视网膜受损情况较轻,手术有效率更高,术后BCVA更佳。

    结论:玻璃体切割手术联合眼内硅油填充是治疗重症眼内炎的有效方法,及早发现并及时手术治疗是减少视力受损程度的重要因素。

    Abstract:

    AIM: To explore the relations of clinical efficacy and surgical timing of vitrectomy combined with silicone oil tamponade for severe infectious traumatized endophthalmitis.

    METHODS: Totally 59 patients(59 eyes)with severe infectious traumatized endophthalmitis accepted vitrectomy combined with silicone oil tamponade. Patients were divided into two groups by different surgical timing. Group A accepted operation in 24 hours. Group B accepted operation 24 hours after injury. Retina status during operation, clinical efficacy and best-corrected visual acuity were observed and recorded.

    RESULTS: The cases of early operation group got lesser retina injury and higher efficacy and better best-corrected visual acuity.

    CONCLUSION:Vitrectomy combined with silicone oil tamponade is an effective way to cure severe infected traumatized endophthalmitis. Early surgical treatment is the key to achieve better effect.

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郑霄,赵刚平,李山祥,等.早期玻璃体切除术治疗重症外伤性眼内炎的疗效.国际眼科杂志, 2013,13(8):1691-1693.

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  • 收稿日期:2013-05-14
  • 最后修改日期:2013-07-19
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  • 在线发布日期: 2013-07-29
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