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目的探讨前部玻璃体切除治疗复杂性眼前段外伤的效果。方法回顾分析我院经前部玻璃体切除治疗的复杂性眼前段外伤42例(42眼)包括已1期缝合的眼球穿孔伤25眼,经巩膜隧道口切除前房内晶状体及玻璃体,植入人工晶状体23眼;钝挫伤性晶状体不全脱位13眼,其中继发青光眼5眼,前房内切除脱位的晶状体及玻璃体,Ⅱ期植入悬吊人工晶状体13眼;晶状体悬韧带部分断离伴玻璃体溢入前房并前房积血4眼,其中3眼继发青光眼,只行前房内积血和玻璃体切除,保留晶状体。结果眼球穿孔伤25眼,术后视力0.3以上21眼;晶状体不完全脱位13例,术后视力0.3以上9眼;玻璃体溢入前房及前房积血4眼,成功保留晶状体,术后视力均在0.3以上,术后无再出血,眼压控制。结论前部玻璃体切除术治疗眼前段外伤有较好的效果。
Objective To investigate the effect of anterior vitrectomy in the treatment of complex anterior segment trauma. Methods Forty-two patients (42 eyes) with anterior segment vitrectomy who underwent anterior vitrectomy were retrospectively analyzed. Twenty-five eyes with peri-perforating trauma were included in this study. The posterior chamber intraocular lens and vitreous were excised by scleral tunnel incision Lens 23 eyes; blunt traumatic lens dislocation in 13 eyes, including 5 cases of secondary glaucoma, anterior chamber removal of dislocated lens and vitreous, Ⅱ implantation of suspended intraocular lens 13; part of the lens suspensory ligament with vitreous overflow Into the anterior chamber and anterior chamber hemorrhage 4 eyes, of which 3 cases of secondary glaucoma, only the anterior chamber hemorrhage and vitrectomy, retaining the lens. Results Eye puncture injury in 25 eyes, postoperative visual acuity of 0.3 to 21 eyes; 13 cases of incomplete lens dislocation, postoperative visual acuity of 0.3 to 9 eyes; vitreous overflow into the anterior chamber and anterior chamber hemorrhage 4, the successful retention of the lens, postoperative visual acuity All above 0.3, there was no postoperative bleeding, intraocular pressure control. Conclusion Anterior vitrectomy for the treatment of anterior segment trauma has a good effect.