CAJ | 학술논문

开放性眼外伤是常见的致盲原因.一些外伤性无光感眼经玻璃体手术可能重获光感或更好的视力.外伤性无光感眼的摘除应根据玻璃体手术探查的结果而定,而不应在手术探查前摘除.开放性眼外伤玻璃体手术的时机一直是存在争议的问题,但多数医师倾向于伤后2周内行玻璃体手术,研究显示伤后玻璃体手术最迟不应晚于伤后4周.在玻璃体手术过程中,眼球伤道内口周围的视网膜廓清切除和脱离视网膜的复位是防止增殖性玻璃体视网膜病变的关键.
개방성안외상시상견적치맹원인.일사외상성무광감안경파리체수술가능중획광감혹경호적시력.외상성무광감안적적제응근거파리체수술탐사적결과이정,이불응재수술탐사전적제.개방성안외상파리체수술적시궤일직시존재쟁의적문제,단다수의사경향우상후2주내행파리체수술,연구현시상후파리체수술최지불응만우상후4주.재파리체수술과정중,안구상도내구주위적시망막곽청절제화탈리시망막적복위시방지증식성파리체시망막병변적관건.
Open globe injury is a common cause for blindness.Injured eyes with no light perception (NLP) should not be enucleated before exploratory vitrectomy.Some NLP eyes may attain light perception or better vision through the vitrectomy.The decision of enucleation should be determined during exploratory vitrectomy.The timing of vitrectomy in the open globe injury still has controversy,but more surgeons agreed that vitrectomy should be performed within 2 weeks after open globe injury.The deadline of timing of vitreetomy is 4 weeks after injury.Retinectomy around the edge of the wound and retinal re-attachment surgery are the key points to prevent proliferative vitreoretinopathy resulted from the injury.