论文部分内容阅读
目的：分析探讨玻璃体切除联合穿透性角膜移植术对复杂性眼球穿通伤的治疗价值。方法：对１８例复杂性眼球穿通伤致角膜瘢痕性混浊同时伴有玻璃体、视网膜病变患者的１８只眼，应用临时人工角膜Ⅰ期完成经睫状体平坦部的闭合式玻璃体切除、视网膜复位、穿透性角膜移植等联合手术。结果：术后随访６个月～２年，１４例角膜植片透明，１６例视网膜复位。１５例患者矫正视力为指数／１ｍ以上，１０只眼脱盲，６只眼脱残。结论：应用现代显微手术设备和技巧，对严重眼前后节复杂性眼外伤患者，行玻璃体切除联合穿透性角膜移植术，可以使多数伤眼眼球保存和复明。
Objective: To analyze the value of vitrectomy combined with penetrating keratoplasty in the treatment of complicated penetrating trauma. Methods: Eighteen eyes with vitreous and retinopathy were enrolled in 18 cases of complicated corneal penetrating traumatic eye injury. Closed phacoemulsification and retinal reattachment of the transected ciliary body were performed with temporary artificial cornea. Penetrating keratoplasty and other joint surgery. Results: All the patients were followed up for 6 months to 2 years. 14 cases of corneal graft were transparent and 16 cases of retinal reattachment. Fifteen patients had corrected visual acuity of 1 m or more, 10 eyes were blind, and 6 eyes were disabled. Conclusion: Using modern microsurgical equipment and techniques, vitrectomy combined with penetrating keratoplasty in patients with severe ocular trauma of ocular anterior and posterior segment can preserve and rehabilitate the majority of injured eyes.