Vitreoretinal Service, St. Paul's Eye Department, Royal Liverpool University Hospital, Liverpool, UK.
Retina. 2011 Sep;31(8):1541-4. doi: 10.1097/IAE.0b013e31820840ef.
The timing of vitrectomy for severe penetrating eye injury to the posterior segment remains controversial; this is particularly pertinent if patients are children and young adults. We present our results of the surgical procedure in young patients after penetrating eye injury using a delayed approach.
Noncomparative interventional study of patients up to 29 years of age who had vitreoretinal surgery for penetrating eye injury. Surgical procedure was performed in seven eyes of six patients. Posterior vitrectomy was performed because of hemophthalmos after waiting for a mean of 49 days (range, 17-90 days) after posterior vitreous detachment was confirmed on ultrasound examination.
The mean postoperative follow-up period was 22 months (range, 9-35 months). Of the 7 patients, 6 (85.7%) achieved visual acuity (Snellen acuity) of 6/12 or better and 4 eyes (57.1%) reached 6/6. At the last follow-up, all patients were pseudophakic, 2 required secondary lens implants, and retinal detachment developed in 1 patient.
This consecutive case series underlines the fact that a delayed approach is compatible with good visual prognosis in relatively young patients.
严重后段穿透性眼外伤行玻璃体切除术的时机仍存在争议；如果患者是儿童和年轻成年人，这一点尤其重要。我们介绍了使用延迟方法对年轻穿透性眼外伤患者进行玻璃体视网膜手术后的手术结果。
对年龄在 29 岁以下的患者进行非对照性干预研究，这些患者因眼后段玻璃体后脱离确认后平均等待 49 天（范围为 17-90 天）后出现血眼而接受玻璃体切除术治疗穿透性眼外伤。
平均术后随访时间为 22 个月（范围为 9-35 个月）。7 名患者中，6 名（85.7%）视力（Snellen 视力）达到 6/12 或更好，4 只眼（57.1%）达到 6/6。在最后一次随访时，所有患者均为假晶状体，2 名患者需要二次晶状体植入，1 名患者发生视网膜脱离。
这一系列连续病例强调了这样一个事实，即对于相对年轻的患者，延迟方法与良好的视觉预后是兼容的。
