15岁以下儿童玻璃体手术预后的临床观察

• 作 者: 石一宁 王煊
• 机 构: 西安市第四医院眼底病研究室
• 出 处: 中国实用眼科杂志
• 发表日期: 1996年12期
• 关键词: 玻璃体手术 术后视力 眼挫伤 视网膜脱离 穿通伤 增殖性病变 临床观察 眼外伤 手术预后 硅油充填

本文追踪随访了行玻璃体手术２年以上的１５岁以下儿童５３例，其占同期玻璃体手术总例数的１０．７９％。病因有眼穿通伤２６例（４９．０６％），眼挫伤１５例（２８．３％），裂孔性视网膜脱离及先天性眼部异常伴玻璃体视网膜病变各４例（７．５５％）。术后２８－６１个月视力恢复０．０２以上者３５例（６６．０４％），其中０．５以上者１２例（３４．２９％）。６４．１５％（３４例）的病例术中见增殖性改变，其中１９例（５５．８８％）系广泛性玻璃体视网膜增殖性病变，是致术后视力丧失的主要原因。

In this study, 53 children under 15 years of age who underwent vitrectomy were followed up for 10 years, accounting for 10.79% of the total number of vitrectomy. There were 26 cases (49.06%) with eye penetrating injury, 15 cases (28.3%) with eye contusion, 4 cases (7.55%) with retinal detachment and congenital ocular abnormalities and vitreoretinopathy. Visual acuity of more than 0.02 in 28-61 months after surgery was 35 cases (66.04%), of which 12 cases (34.29%) were 0.5 or more. In 64.15% (34 cases) of cases, proliferative changes were observed. Among them, 19 cases (55.88%) were extensive vitreoretinal proliferative lesions, which was the main cause of postoperative visual loss.