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目的 探讨非穿孔性眼外伤玻璃体积血和相应的视网膜和脉络膜病变的特征 ,及玻璃体手术疗效。方法 玻璃体切除治疗 91例 ( 96眼 )因碰撞伤、弹崩伤、爆炸伤及Terson综合征等所致玻璃体积血。结果 83眼 ( 86 5 % )获得功能性成功 ,5眼 ( 5 2 % )获得解剖性成功、8眼 ( 8 3 % )失败 ;常见的眼部病变有视网膜、脉络膜破裂、青光眼、牵引性视网膜脱离。结论 外伤性质和积血病程与预后密切相关。弹崩伤、爆炸伤预后较差 ,Terson综合征较好
Objective To investigate the characteristics of non-perforated ocular trauma vitreous hemorrhage and corresponding retinal and choroidal lesions, and the efficacy of vitreous surgery. Methods Vitrectomy was performed in 91 patients (96 eyes) with vitreous hemorrhage due to collision, traumatic injury, explosive injury and Terson syndrome. Results Eighty-three eyes (86.5%) achieved functional success, five (52%) achieved anatomical success and eight (8.3%) failed. Common eye diseases were retinal, choroidal rupture, glaucoma, tractive retinal Detached. Conclusion The nature of trauma and the course of hemorrhage are closely related to the prognosis. Stroke injury, blast injury prognosis is poor, Terson syndrome is better