应用现代眼科技术修复严重眼球穿孔伤32例临床观察

• 作 者: 许泽广 雷智 李援东 王超廷
• 机 构: 河南省周口地区眼科医院,河南省周口地区眼科医院,河南省周口地区眼科医院,河南省周口地区眼科医院
• 出 处: 眼外伤职业眼病杂志.附眼科手术
• 发表日期: 2000年01期
• 关键词: 眼球穿孔伤 修复术 预后

目的　评估严重眼球穿孔伤的疗效。方法　对 3 2例 3 2眼严重眼球穿孔伤患者应用现代眼科技术及联合手术进行修复治疗 ,并进行 6～ 3 2月 (平均 2 0月 )的随访观察。结果　术后有 75 %的伤眼保全了眼球 ,且有 5 0 %的伤眼不同程度地恢复了视力 ,无 1例发生交感性眼炎。结论　严重的眼球穿孔伤患者尽管术后效果不够理想 ,但经过正确的修复及适时的联合手术治疗 ,可能为伤眼保全眼球并部分恢复视功能提供机会。

Objective To evaluate the efficacy of severe perforation of the eyeball. Methods 32 cases of 32 eyes with severe perforation of the eye were treated with modern ophthalmic techniques and combined surgery. The patients were followed up for 6 to 32 months (average 20 months). Results 75% of injured eyes had preserved the eyeball after surgery, and 50% of injured eyes restored vision to varying degrees, none of them had sympathetic ophthalmia. Conclusions Although serious postoperative percutaneous trauma is not satisfactory, the correct perforation and timely surgical treatment may provide an opportunity to preserve the eyeball and partially restore visual function.