中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
11期
815-817
,共3页
玻璃体切除,23-G%眼外伤
玻璃體切除,23-G%眼外傷
파리체절제,23-G%안외상
Vitrectomy,23-G%Trauma,ocular
目的 观察透明角膜入路的23-G微创玻璃体手术在一期眼外伤处理中的效果.方法 回顾性系列病例研究.对26例(26只眼)复杂眼外伤采用角膜入路的晶状体切除及前部玻璃体切除术:在近角膜缘的透明角膜上用23-G穿刺刀做两个切口,分别置微套管,一侧与灌注管相连,另一侧伸入玻切头.通过两个微套管进行角膜入路的晶状体切除及前段玻璃体切除.结果 术中无并发症发生,术后随访结束时最佳矫正视力0.5及以上者3只眼(11.54％),0.1 ～0.4者8只眼(30.77％),0.02 ～0.08者12只眼(46.15％),数指及以下者3只眼(11.54％).术后第3天平均眼压为(13.26±4.83) mm Hg,术后第7天平均眼压为(14.65±3.91)mm Hg(1 mm Hg=0.133 kPa).18只眼二期植入人工晶状体,9眼经玻璃体视网膜手术处理后,视网膜复位,保留了眼球.结论 透明角膜入路的23-G微创玻璃体手术是一期处理眼外伤的有效方法.
目的 觀察透明角膜入路的23-G微創玻璃體手術在一期眼外傷處理中的效果.方法 迴顧性繫列病例研究.對26例(26隻眼)複雜眼外傷採用角膜入路的晶狀體切除及前部玻璃體切除術:在近角膜緣的透明角膜上用23-G穿刺刀做兩箇切口,分彆置微套管,一側與灌註管相連,另一側伸入玻切頭.通過兩箇微套管進行角膜入路的晶狀體切除及前段玻璃體切除.結果 術中無併髮癥髮生,術後隨訪結束時最佳矯正視力0.5及以上者3隻眼(11.54％),0.1 ～0.4者8隻眼(30.77％),0.02 ～0.08者12隻眼(46.15％),數指及以下者3隻眼(11.54％).術後第3天平均眼壓為(13.26±4.83) mm Hg,術後第7天平均眼壓為(14.65±3.91)mm Hg(1 mm Hg=0.133 kPa).18隻眼二期植入人工晶狀體,9眼經玻璃體視網膜手術處理後,視網膜複位,保留瞭眼毬.結論 透明角膜入路的23-G微創玻璃體手術是一期處理眼外傷的有效方法.
목적 관찰투명각막입로적23-G미창파리체수술재일기안외상처리중적효과.방법 회고성계렬병례연구.대26례(26지안)복잡안외상채용각막입로적정상체절제급전부파리체절제술:재근각막연적투명각막상용23-G천자도주량개절구,분별치미투관,일측여관주관상련,령일측신입파절두.통과량개미투관진행각막입로적정상체절제급전단파리체절제.결과 술중무병발증발생,술후수방결속시최가교정시력0.5급이상자3지안(11.54％),0.1 ～0.4자8지안(30.77％),0.02 ～0.08자12지안(46.15％),수지급이하자3지안(11.54％).술후제3천평균안압위(13.26±4.83) mm Hg,술후제7천평균안압위(14.65±3.91)mm Hg(1 mm Hg=0.133 kPa).18지안이기식입인공정상체,9안경파리체시망막수술처리후,시망막복위,보류료안구.결론 투명각막입로적23-G미창파리체수술시일기처리안외상적유효방법.
Objective To investigate the effect of first-stage 23-G vitrectomy via cornea approach in the treatment of ocular trauma.Methods This retrospective study involved a total of 26 eyes from 26 patients who suffered from complicated ocular trauma.Lensectomy and anterior vitrectomy via cornea approach were performed:two incisions were made using a 23-G stab knife in transparent cornea near limbus.Trocars were inserted:one connected to the infusion tube and the other made the vitreous cutter enter anterior chamber.Results No complications occured during the operations.The postoperative best corrected visual acuity was better than 0.5 in 3 eyes(11.54％),from 0.1 to 0.4 in 8 eyes(30.72％),from 0.02 to 0.08 in 12 eyes(46.15％),less than CF in 3 eyes(11.54％).The mean IOP at 3 days and 1 week after surgery was (13.26 ±4.83) mmHg and (14.65 ±3.91) mmHg respectively.The intraocular lens (IOL) were implanted in 18 eyes later.9 eyes had retinal reattachment after timely vitreoretinal surgery.Conclusion Firststage 23-G vitrectomy via cornea approach is very effective for the complicated ocular trauma.
