目的:探讨玻璃体视网膜手术治疗重度眼外伤后无光感眼临床效果。方法:回顾性研究玻璃体视网膜手术治疗10例10眼重症眼外伤后无光感眼的手术效果,10例患眼均进行了标准的三通道玻璃体切除术。手术后随访6～24(平均12)mo,随访中行视力、最佳矫正视力,眼压及眼底检查,部分患眼进行了眼B超,UBM,ERG,OCT和眼底照相检查。结果:10例10眼有5例恢复了光感或光感以上视力;5例术后仍无光感眼中2例发生眼球萎缩,再次手术行眼球摘除联合义眼台植入。结论:重度眼外伤无光感眼,不应盲目行眼球摘除,经玻璃体视网膜手术治疗后可获一定的视力恢复。

AIM:To investigate the effect of vitrectomy for severe ocular injury with no light perception.METHODS:We retrospectively analyzed 10 patients 10 eyes with severe ocular injury.All affected eyes were performed by one surgeon with standard 3-port pars plana vitrectomy.The mean postoperative follow-up time was 12 months (6-24 months).During the follow-up,we surveyed their visual acuity,the corrected vision,intrao-cular pressure and fundus examination.Some patients were performed with B-ultrasound,UBM,ERG,OCT and fundus photograph.RESULTS:Five eyes had visual acuity of light percep-tion or above.5 eyes had visual acuity of no light percep-tion after operation.In these 5 eyes,2 eyes,because of atrophia bulbi,were performed second surgery with eyeball removal and hydroxyapatite implantation.CONCLUSION:The severe injured eyes with no light perception should not be removed blindly.Vitrectomy may save the visual function of some patients.

R779.6