Coleman D J
Am J Ophthalmol. 1982 May;93(5):543-51. doi: 10.1016/s0002-9394(14)77367-2.
In a series of 112 consecutive patients who underwent vitrectomy because of severe penetrating ocular trauma, good visual recovery (6/12 [20/40] or better) was achieved in 15 of 23 patients (65%) who underwent surgery within 72 hours of the injury (Group 1), in seven of 14 patients (50%) who underwent surgery three to ten days after injury (Group 2), in eight of 22 patients (36%) who underwent surgery ten to 14 days after injury (Group 3), in two of five patients (40%) who underwent surgery 14 to 30 days after injury (Group 4A), and in 17 of 48 patients (35%) who underwent surgery more than 40 days after injury (Group 4B). Functional vision (6/12 [20/40] to counting fingers) was achieved in three of 23 patients (13%) in Group I, five of 14 patients (36%) in Group 2, six of 22 patients (27%) in Group 3, two of five patients (40%) in Group 4A, and in 22 of 48 patients (46%) in Group 4B. These data indicated that definitive early surgical intervention, including vitrectomy, should be considered as part of the primary repair or performed within 72 hours of the injury. Early surgery provides a statistical better prognosis for good visual recovery than a delay of three to 14 days or longer.
在一系列因严重穿透性眼外伤而接受玻璃体切除术的112例连续患者中，受伤后72小时内接受手术的23例患者中有15例（65%）实现了良好的视力恢复（6/12[20/40]或更好）（第1组），受伤后三至十天接受手术的14例患者中有7例（50%）（第2组），受伤后十至十四天接受手术的22例患者中有8例（36%）（第3组），受伤后14至30天接受手术的5例患者中有2例（40%）（第4A组），受伤后40天以上接受手术的48例患者中有17例（35%）（第4B组）。第1组23例患者中有3例（13%）获得功能性视力（6/12[20/40]至数手指），第2组14例患者中有5例（36%），第3组22例患者中有6例（27%），第4A组5例患者中有2例（40%），第4B组48例患者中有22例（46%）。这些数据表明，包括玻璃体切除术在内的确定性早期手术干预应被视为一期修复的一部分或在受伤后72小时内进行。早期手术比延迟三至十四天或更长时间能提供统计学上更好的良好视力恢复预后。
