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[早期玻璃体切除术治疗严重眼外伤]

[Early vitrectomy in the treatment of severe eye injuries].

作者信息

Stucchi C A, Vignanelli M

机构信息

Ospedale civico, Reparto Oftalmologia, Lugano.

出版信息

Klin Monbl Augenheilkd. 1990 May;196(5):346-50. doi: 10.1055/s-2008-1046190.

Abstract

Several authors regard early vitrectomy as the best guarantee of success in cases of severe ocular injury. The present authors reviewed their own group of 27 patients, which included 13 cases with intraocular foreign bodies, 6 cases of blunt trauma and 8 with perforating injuries. Aside from cases which later developed retinal complications, vitrectomy was performed in 25 patients, though rarely more than a month after injury. The mean duration of postoperative follow-up was 22 months (minimum 6 month, maximum 66 months). The results and the need for silicone oil injection are discussed and compared with the literature. The timing of vitrectomy is of major importance.

摘要

几位作者认为,对于严重眼外伤病例,早期玻璃体切除术是成功的最佳保证。本文作者回顾了他们自己的27例患者,其中包括13例眼内异物、6例钝挫伤和8例穿孔伤。除了后来出现视网膜并发症的病例外,25例患者接受了玻璃体切除术,尽管很少在受伤后超过一个月进行。术后平均随访时间为22个月(最短6个月,最长66个月)。讨论了结果以及硅油注射的必要性,并与文献进行了比较。玻璃体切除术的时机至关重要。

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