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[穿孔伤后玻璃体切除术的意义]

[The significance of vitrectomy after perforating injuries].

作者信息

Lisch K

出版信息

Klin Monbl Augenheilkd. 1979 Mar;174(3):391-3.

PMID:480809
Abstract

This paper presents three cases that show the importance of vitrectomy after perforating injuries of the eye. Whenever a trauma produces a mixing of vitreous and lens material in the anterior chamber, vitrectomy is the method of choice. Chronic posttraumatic uveitis can be prevented through this procedure. The three young patients, who were operated with the Vitrektor, reached a 6/6 vision with contact lenses after 1 1/2, 2 and 3 years respectively of observation. No consent can be given to the opinion recently expressed that the removal of infected vitreous after a cataract extraction nearly by an irrigation of the anterior chamber is considered to be a vitrectomy performed for decades. Priority for vitrectomy should be given to Kasner.

摘要

本文介绍了三例病例,这些病例显示了眼穿孔伤后玻璃体切除术的重要性。每当外伤导致前房内玻璃体和晶状体物质混合时,玻璃体切除术是首选方法。通过该手术可预防慢性创伤后葡萄膜炎。这三名年轻患者使用玻璃体切割器进行了手术,分别经过1年半、2年和3年的观察后,佩戴隐形眼镜视力达到了6/6。对于最近有人提出的观点,即白内障摘除术后通过前房冲洗几乎完全清除感染的玻璃体被认为是几十年来一直进行的玻璃体切除术,我们不能认同。玻璃体切除术的优先权应归于卡斯纳。

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