Punnonen E, Laatikainen L
Department of Ophthalmology, Helsinki University, Finland.
Acta Ophthalmol (Copenh). 1989 Oct;67(5):483-91. doi: 10.1111/j.1755-3768.1989.tb04097.x.
The long-term results of 95 consecutive eyes with a perforating eye injury and an intraocular foreign body (IOFB) treated with or without pars plana vitrectomy are reported. With the mean follow-up time of 30.0 months (median 22.8 months) 10 eyes (11%) were enucleated and another 17% became blind (visual acuity less than 0.05). The enucleation rate was considerably decreased and the visual outcome improved as compared with previous studies in Finland. The visual outcome was affected unfavourably by posterior location of the perforation, blunt injury, prolapse of intraocular tissue and poor initial visual acuity. There was no significant difference in the visual outcome between eyes with posterior segment IOFBs treated with or without vitrectomy. In the posterior perforation group the visual outcome was slightly better in eyes in which vitrectomy was performed (P = 0.336), and early vitrectomy within 1 week gave best visual results (P = 0.692). In 79% of the non-enucleated eyes the retina was attached. The anatomic success rate was similar regardless of the timing of vitrectomy.
报告了95例连续的伴有眼球穿通伤和眼内异物（IOFB）的患眼，接受或未接受玻璃体切除术的长期结果。平均随访时间为30.0个月（中位数22.8个月），10只眼（11%）被摘除眼球，另有17%的患眼失明（视力低于0.05）。与芬兰之前的研究相比，眼球摘除率显著降低，视觉预后得到改善。穿孔位于后部、钝挫伤、眼内组织脱垂和初始视力差对视觉预后产生不利影响。接受或未接受玻璃体切除术治疗的后段眼内异物患眼的视觉预后无显著差异。在后穿孔组中，接受玻璃体切除术的患眼视觉预后略好（P = 0.336），1周内早期玻璃体切除术视觉效果最佳（P = 0.692）。在79%未摘除眼球的患眼中，视网膜附着。无论玻璃体切除术的时机如何，解剖成功率相似。
