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1、严重眼球破裂伤无光感眼合并角膜血染的手术治疗212巾华眼底病杂志2004年7月第20卷第4期ChinJOculFundusDis,July2004,Vol20,No.4严重眼球破裂伤无光感眼合并角膜血染的手术治疗颜华许瀛海姚宝群张静楷赫天耕?I临床研究?【摘要】目的探讨严重眼球破裂伤无光感眼合并角膜血染的手术治疗效果,并分析相关因素.方法7例患者7只眼因严重眼球破裂伤无光感合并角膜血染接受2期临时人工角膜下玻璃体切割联合角膜移植手术.2期手术前7只眼均角膜血染,前房及玻璃体积血,视网膜脉络膜脱离.1期与2期手
2、术间隔时间平均18d(12～21d).手术前视力均无光感,眼压平均3mmHg(1mmHg一0.133kPa)(2～5FflmHg).随访平均时间12个月(6～30个月).结果5只眼恢复光感以上视力,矫正视力从光感至0,05.视网膜复位5只眼(5/7).眼压平均12FflmHg(5～15mmHg),明显高于手术前眼压(P<O.05).并发症包括一过性高眼压(1只眼),角膜新生m管(4只眼),角膜排斥反应(4只眼),眼球萎缩(2只眼)结论临时人T角膜下玻璃体切割联合角膜移植手术是挽球严重眼球破裂伤无光感眼合
3、并角膜血染的安全有效的方法.【关键词】玻璃体切除术;角膜移植,穿透性;眼损伤,穿透性;膜,人工中图分类号:R779.6Surgicaltreatmentforsevereocularrupturewithbloodstainingofcorneaandnon—lightperceptionYANHua,XLYing—hai,YAOBao—qun,eta1.DepartmentoJ()phthalmology,7'ianjinMedicalUniversityHospital,7ianjin300052.Chi
4、na(()rrspondlngauthorYANHtu,Email:phuayan2000'yahoo.COin[Abstract]ObjectiveToevaluatetheeffectsofsurgicaltreatmentforsevereocularrupturewithbloodstainingofcorneaandnonlightperception,andanalyzetherelativefactors.MethodsSevenseverelyrupturedeyesof7patientswi
5、thbloodstainingofcorneaandnon—lightperceptionunderwentsecond—stagepenetratingkeratoplastycombinedwithvitrectomyusingtemporarykeratoprosthesis.A11injuredeyeshadbloodstainingofcornea,hemorrhageinanteriorchamberandvitreous,andchoroidalandretinaldetachmentbefor
6、ethesecondstagesurgery.Theaverageintervalofthetwosurgicalstageswas18days(12-21days).Thepreoperativevisualacuitywasnon—lightperceptioninallinjuredeyeswiththemeanintraocularpressureof3mmHg(1mmHg一0.133kPa)(2-5mmHg).Themeanfollow—upperiodwas12months(630months).
7、ResultsThepostoperativevisualacuitywasbetterthanlightperceptionin5eyeswiththebestcorrectedvisualacuityoflightperceptionto0.06.There~inawasav~achedin5eyes(5/7).Themeanpostoperativeintraocularpressurewas12mmHg(5—15mmHg)whichwassignificantlyhigherthanthepreope
8、rativeone(P<0.05).Postoperativecomplicationsmainlyincludedtemporarvintraocularhypertension(1eye),cornealneovascularization(4eyes),cornearejection(4eyes).andocularatrophy(2eyes).ConclusionPenetrating
