Martin D F, Meredith T A, Topping T M, Sternberg P, Kaplan H J
Department of Ophthalmology, Emory University School of Medicine, Atlanta, Ga.
Arch Ophthalmol. 1991 Jul;109(7):951-6. doi: 10.1001/archopht.1991.01080070063036.
Fifty-one eyes of 48 patients with perforating (through-and-through) injuries of the globe were treated with vitrectomy during a 12-year period. Functional success was obtained in 32 eyes (63%), anatomic success was obtained in nine eyes (17%), and treatment failed in 10 eyes (20%). In 16 eyes (32%), 20/20 to 20/100 visual acuity was obtained; in 17 eyes (33%), 20/200 to 5/200 visual acuity was obtained; and in 18 eyes (35%), less than 5/200 visual acuity was obtained. The mechanism of injury was an important prognostic indicator of final visual outcome. Eight (62%) of 13 eyes that sustained knife or nail injuries achieved a final visual acuity of 20/50 or better, while only six (16%) of 38 eyes [corrected] with missile injuries achieved a similar level of acuity. Final visual outcome correlated well with the state of the macula and was not predicted by preoperative visual acuity. Despite improvement in surgical techniques and instrumentation, no trend toward improved visual outcomes was identified during the 12-year period.
在12年期间，对48例眼球穿通伤患者的51只眼睛进行了玻璃体切除术治疗。32只眼睛（63%）获得了功能成功，9只眼睛（17%）获得了解剖成功，10只眼睛（20%）治疗失败。16只眼睛（32%）的视力达到20/20至20/100；17只眼睛（33%）的视力达到20/200至5/200；18只眼睛（35%）的视力低于5/200。损伤机制是最终视觉结果的重要预后指标。13只遭受刀伤或钉伤的眼睛中有8只（62%）最终视力达到20/50或更好，而38只遭受导弹伤的眼睛中只有6只（16%）达到了类似的视力水平。最终视觉结果与黄斑状态密切相关，术前视力无法预测。尽管手术技术和器械有所改进，但在这12年期间未发现视觉结果改善的趋势。
