Coleman D J
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 May-Jun;81(3 Pt 1):406-13.
Debridement of the vitreous from perforating injuries can be more effectively and expeditiously accomplished with the aid of vitreous suction and cutting instruments than with conventional sponge-forceps technique. This technique is of great value as part of primary closure of perforating ocular injuries. In addition, trauma which results in (1) lens rupture with expulsion of the lens material into the vitreous; (2) massive vitreous hemorrhage with ciliary body laceration or posterior globe laceration; (3) retinal detachment with vitreous hemorrhage; or (4) retained reactive intraocular foreign body, requires vitrectomy. Because of inflammatory and fibroplastic changes, the earliest possible surgical intervention is recommended in these situations. Removal of lens material, reactive foreign body, or traction membranes, and early repair of retinal detachment may all be facilitated by new vitrectomy instrumentation.
借助玻璃体抽吸和切割器械，与传统的海绵钳技术相比，能更有效、迅速地清除穿孔伤所致的玻璃体。作为眼球穿孔伤一期缝合的一部分，该技术具有重要价值。此外，导致以下情况的外伤需要进行玻璃体切除术：（1）晶状体破裂，晶状体物质排入玻璃体；（2）伴有睫状体撕裂或眼球后部撕裂的大量玻璃体积血；（3）伴有玻璃体积血的视网膜脱离；或（4）眼内有反应性异物残留。由于存在炎症和纤维增生性改变，建议在这些情况下尽早进行手术干预。新型玻璃体切除器械有助于清除晶状体物质、反应性异物或牵引膜，并早期修复视网膜脱离。
