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目的 分析玻璃体手术治疗眼球穿孔伤的影响因素。方法 回顾 86例 ( 87眼 )眼球穿孔伤行玻璃体手术的资料 ,随访近期眼部情况。结果 成功 67眼 ( 77% ) ,失败 2 0眼 ( 2 3 % )。外伤后 14～ 3 0天内行玻璃体手术成功率 ( 88% )最高。术前视力 <0 0 2者手术成功率 ( 72 % )比术前视力≥ 0 0 2者成功率 ( 89% )低。术前合并视网膜脱离者成功率 ( 68% ) ,低于无视网膜脱离组 ( 89% )。结论 眼外伤后 14～ 3 0天内行玻璃体手术为最佳时间。术前视力好者预后佳。术前合并视网膜脱离者预后较差。
Objective To analyze the influencing factors of vitreous surgery for perforation of eyeball. Methods The data of vitrectomy in 86 eyes (87 eyes) were retrospectively reviewed. The recent eye condition was followed up. Results Successful 67 eyes (77%), failed 20 (23%). Vitreous surgery success rate (88%) was the highest between 14 and 30 days after trauma. The preoperative visual acuity <0 0 2 was associated with a lower success rate (72%) than the preoperative visual acuity ≥ 0 0 2 (89%). The success rate of preoperative retinal detachment (68%) was lower than that of the group without retinal detachment (89%). Conclusion Intraocular vitrectomy is the best time from 14 to 30 days after ocular trauma. Good preoperative vision good prognosis. Preoperative retinal detachment with poor prognosis.