Wang Chang-Guan, Ma Zhi-Zhong
Peking University Eye Center, The Third Hospital of Peking University, Beijing 100083, China.
Chin J Traumatol. 2016 Dec 1;19(6):311-316. doi: 10.1016/j.cjtee.2016.09.002.
In the article, the development of medical treatment for eye injuries in the mainland of China was reviewed. According to the data provided in Eye Injury Vitrectomy Study (EIVS), 27% of 72 eyes with no light perception (NLP) gained recovery in term of antomy and visual function. Vitrectomy initiated at more than 4 weeks after open eye injury is an independent risk factor for developing PVR. Prognosis of anatomy and visual function of the injured eye with PVR is markedly worse than that without PVR. Serious injuries of ciliary body, choroid and retina are three key parts of the eye with NLP. The concept that the treatment of the eye injury gradually focus on the whole globe is embodied. The data from 13575 in patients with traumatic eyes in 14 hospitals revealed that the rate of immediate enucleation was remarkable reduced with comparison of 20 years ago.
本文回顾了中国大陆眼外伤的医学治疗进展。根据眼外伤玻璃体切除术研究（EIVS）提供的数据，72只无光感（NLP）眼中有27%在解剖结构和视觉功能方面获得了恢复。开放性眼外伤后4周以上开始的玻璃体切除术是发生增殖性玻璃体视网膜病变（PVR）的独立危险因素。伴有PVR的伤眼的解剖结构和视觉功能预后明显差于不伴有PVR的伤眼。睫状体、脉络膜和视网膜的严重损伤是无光感眼的三个关键部位。这体现了眼外伤治疗逐渐着眼于眼球整体的理念。来自14家医院13575例眼外伤患者的数据显示，与20年前相比，一期眼球摘除率显著降低。
