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目的评价现代眼科技术修复眼球穿孔伤的疗效。方法对39例(39眼)严重眼球穿孔伤患者应用现代眼科手术技术,前段角巩膜修补联合后段玻璃体手术,部分眼内异物取出等进行修复治疗,随访观察6~36个月(平均19.1个月)。结果术后视力比术前进步20例(51.3%),视力不变17例(43.6%),视力下降2例(5.1%);无1例发生交感性眼炎。结论现代眼科手术提供了拯救严重眼球穿孔的手段,使这些伤眼具有保全眼球甚或恢复一定视功能的可能,有重要的临床价值。
Objective To evaluate the efficacy of modern ophthalmic techniques in repairing perforation of the eyeball. Methods 39 cases (39 eyes) of severe perforation injury were treated by modern ophthalmic surgery, anterior corneal scleral repair combined with posterior vitrectomy, and some intraocular foreign bodies were removed for repair. The follow-up period was 6 to 36 months (mean 19.1 months month). Results Postoperative visual acuity was improved in 20 cases (51.3%), unchanged in 17 eyes (43.6%) and decreased in visual acuity in 2 cases (5.1%). No one had sympathetic ophthalmia. Conclusion Modern ophthalmic surgery provides a means of rescuing severe perforation of the eyeball. It is of great clinical value that these eyeballs have the potential of preserving the eyeball and / or restoring certain visual functions.