摘要
目的 初步评价眼球破裂伤合并脉络膜上腔出血患者的手术治疗效果。方法 对 17例 (17只眼 )因眼球破裂伤致脉络膜上腔出血的患者行Ⅱ期手术治疗 ,玻璃体腔内灌注BSS ,由睫状体平坦部行巩膜切口引流脉络膜上腔积血 ,然后经睫状体平坦部行玻璃体切除联合视网膜复位术 ,术中眼内填充气体或硅油。结果 17例患者均成功引流脉络膜上腔积血 ,术后随访 3～ 2 7个月 ,15例患者视网膜和脉络膜在位 ,眼球保存率 88 2 % ,视力较术前有所提高 ;2例患者视网膜再脱离 ,眼球萎缩。结论 经Ⅱ期手术引流脉络膜上腔积血及玻璃体切除、视网膜复位术 ,大部分严重的眼外伤合并脉络膜上腔出血的患者可保留眼球 。
Objective To evaluate the methods and effects of surgery for traumatic suprachoroidal hemorrhage (SH). Methods Seventeen cases with SH caused by ocular rupture underwent secondary surgery. With BSS irrigating into vitreous cavity, we drained SH through pars plana incisions and performed routine vitrectomy with gas or silicone oil tamponade. Results SH drainage was effective in 17 cases. During the follow up of 3 27 months, the eye balls survived and the visual acuities were improved in 15 eyes (88 2%). Conclusion With the surgical treatment of vitrectomy combined with SH drainage, most of the eyes with traumatic SH can be saved and their visual acuities recover for some degrees.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2002年第11期654-656,共3页
Chinese Journal of Ophthalmology
