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目的:分析急诊手术中眼内容大量丢失后,应用粘弹剂作为眼内容填充物的有效性及安全性。方法:回顾12例重度眼球破裂伤患者的治疗经过,应用粘弹剂填充玻璃体腔及前房后,观察术后1周、1月及6月眼球形态,视力,眼前段情况,眼B超,眼压结果.结果:9例恢复正常形态,有视力,其中3例做白内障超声乳化+人工晶状体植入术后,视力明显提高;其余3例因视网膜脱离治疗失败而导致眼球萎缩,行眼球摘除及义眼台植入;无眼内炎及交感性眼炎发生,部分病例短时间内有一过性高眼压。结论:在重度眼球破裂伤后眼内容大量丢失的情况厂,采用粘弹剂作为眼内容填充物,取得良好效果。
OBJECTIVE: To analyze the effectiveness and safety of using viscoelastic as a filler for ocular contents after a large loss of ocular contents in emergency operations. Methods: The treatment of 12 patients with severe orbital rupture of the eye was retrospectively reviewed. After the intravitreal and anterior chamber were filled with viscoelastic agent, the morphology of the eyeball, visual acuity, anterior segment, Results: Nine patients returned to normal form with visual acuity, of which 3 cases had phacoemulsification and intraocular lens implantation, the visual acuity was significantly improved; the other 3 cases were caused by the failure of retinal detachment, And implantation of artificial eye; no endophthalmitis and sympathetic ophthalmia occurred, in some cases a transient high intraocular pressure. CONCLUSIONS: In the case of a large loss of eyeball contents after severe ocular rupture, viscoelastic material is used as a filler in the ocular contents, achieving good results.