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目的探讨现代玻璃体切割手术治疗严重眼外伤的疗效。方法对2000~2004年间我院收治的严重眼外伤34例应用现代玻璃体切割硅油填充手术治疗,一期清创缝合联合玻璃体手术者10例,一期清创缝合二期行玻璃体手术者24例。术后随诊3~24个月(平均10.5个月);观察术后效果。结果术后34例眼球完全保留,33眼视力较术前不同程度提高。结论应用现代玻璃体切割硅油填充术治疗严重眼外伤,不仅能保留眼球完整,视力也会有不同程度提高。
Objective To investigate the effect of modern vitrectomy on severe ocular trauma. Methods Thirty-four cases of severe ocular trauma admitted in our hospital from 2000 to 2004 were treated with modern vitrectomy silicone oil surgery. There were 10 cases of primary debridement and suture combined with vitreous surgery and 24 cases of stage I debridement and secondary vitreous surgery. The patients were followed up for 3 to 24 months (mean 10.5 months). The postoperative effects were observed. Results 34 cases of postoperative eye completely retained, visual acuity of 33 eyes increased to varying degrees compared with preoperative. Conclusion The application of modern vitrectomy silicone oil surgery for severe ocular trauma, not only can preserve the integrity of the eye, vision will have different degrees of improvement.