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严重眼球穿孔伤的一期玻璃体切除术结果

Results of primary vitrectomy in severe perforating ocular injuries.

作者信息

Faulborn J, Atkinson A, Olivier D

出版信息

Mod Probl Ophthalmol. 1977;18:245-6.

PMID:876059
Abstract

Vitrectomy in the initial treatment of perforating injuries is indicated when lens damage involves the posterior capsule, when anterior segment disruption involves vitreous, with extensive vitreous haemorrhage and overt or suspected retinal damage, in removal of a non-magnetic intraocular foreign body and in perforating injury with endophthalmitis. The visual results in 72 eyes followed for up to 6 years are: blind or enucleated 19 (26%), acuity less than 0.1 in 14 (19%), 0.1-0.4 in 18 (25%) and 0.5 or better in 21 (30%). Retinal detachment occurred in 27 eyes with successful reattachment in 18 (66%).

摘要

当晶状体损伤累及后囊、眼前节破裂累及玻璃体、伴有广泛玻璃体积血及明显或疑似视网膜损伤时,在取出非磁性眼内异物以及伴有眼内炎的穿孔伤时,玻璃体切除术可用于穿孔伤的初始治疗。对72只眼进行了长达6年的随访,其视觉结果如下:失明或眼球摘除19只(26%),视力低于0.1者14只(19%),视力在0.1 - 0.4之间者18只(25%),视力在0.5及以上者21只(30%)。27只眼发生了视网膜脱离,其中18只(66%)成功复位。

相似文献

1
Results of primary vitrectomy in severe perforating ocular injuries.严重眼球穿孔伤的一期玻璃体切除术结果
Mod Probl Ophthalmol. 1977;18:245-6.
2
[Indications for pars plana vitrectomy after perforating injuries (author's transl)].穿孔伤后玻璃体切除术的适应证(作者译)
Klin Monbl Augenheilkd. 1978 Feb;172(2):263-9.
3
Vitreous surgery techniques in penetrating ocular trauma.
Trans Ophthalmol Soc U K (1962). 1978;98(4):472-80.
4
[Has the prognosis of perforating injuries improved as a result of vitrectomy?].
Fortschr Ophthalmol. 1984;81(1):50-3.
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Pars plana vitrectomy. The role of vitrectomy in penetrating ocular injuries.
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 May-Jun;81(3 Pt 1):414-9.
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Pars plana vitrectomy. The role of vitrectomy in traumatic vitreopathy.玻璃体切除术。玻璃体切除术在创伤性玻璃体病变中的作用。
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 May-Jun;81(3 Pt 1):406-13.
7
[Preventive surgery in the treatment of severely injured eyes: late results, complications, postoperative care (author's transl)].
Klin Monbl Augenheilkd. 1976 Nov;169(5):562-9.
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Late vitrectomy in double perforating ocular injuries.
Ophthalmic Surg. 1979 Oct;10(10):78-80.
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Prognostic factors in severely traumatized eyes with posterior segment involvement.伴有后段受累的严重创伤性眼的预后因素。
Ulus Travma Acil Cerrahi Derg. 2009 May;15(3):271-6.
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[Perforating eye injuries with multiple intraocular foreign bodies following military maneuver accidents].军事演习事故后伴有多发性眼内异物的眼球穿通伤
Klin Monbl Augenheilkd. 1986 Mar;188(3):221-4. doi: 10.1055/s-2008-1050616.

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