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目的评价玻璃体视网膜手术救治儿童复杂性眼外伤的效果。方法回顾性分析玻璃体切除术及联合手术治疗2.5～12岁儿童穿孔性眼外伤36例(37眼)。包括眼内炎、玻璃体积血、眼内异物、视网膜脱离等。结果 37眼患者术后,36(97.30%)只眼一次性手术治愈,其中视力提高者31(83.78%)只眼,1眼因视网膜脱离,经二次膜剥离,气-液交换后硅油填充,视网膜仍不复位最终成为硅油依赖而失败。所有患者均随访2～6个月。其中光感～0.1者13(35.14%)眼,0.1～0.3者12(32.43%)眼,0.3以上的6(16.22%)眼,视力不变者5(13.51%)眼,1(2.70%)眼视力下降。结论经过恰当的玻璃体切除术联合相应的治疗措施,大多数儿童复杂性眼外伤视功能可得到相当程度的挽救,少部分儿童可以达到脱盲、脱残的目的。
Objective To evaluate the effect of vitreoretinal surgery on children complicated ocular trauma. Methods Retrospective analysis of vitrectomy and combined surgery in children aged 2.5 to 12 perforation of traumatic eye injury in 36 cases (37 eyes). Including endophthalmitis, vitreous hemorrhage, intraocular foreign body, retinal detachment and so on. Results Thirty-six eyes (37 eyes) were cured by one-time surgery, including 31 eyes (83.78%) with visual acuity, 1 case with retinal detachment, , The retina is still not reset and eventually become dependent on the failure of silicone oil. All patients were followed up for 2 to 6 months. There were 13 (35.14%) eyes with light perception ~ 0.1, 12 (32.43%) eyes with 0.1 ~ 0.3 eyes, 6 eyes (16.22% eyes) with 0.3 or more eyesight, Ocular vision decreased. Conclusions After appropriate vitrectomy combined with the corresponding treatment, most children with complex ocular trauma visual function can be a considerable degree of salvage, a small number of children can reach the purpose of blindness, disability.