方法：回顾性连续病例研究。分析2006-01/2010-02本中心眼底病专科确诊的68例独眼患者的临床资料，分析该特殊群体的临床特点，对手术方案、眼内填充物的选择、手术前后视力、术中术后并发症、解剖成功率及预后进行重点分析。术后随访4mo～5a，平均11.30 ± 9.57mo，以最后一次随访作为疗效判断时间点。

结果：术后视力明显提高，68例患者中，0.05以上者从术前的22眼(32.4%)提高到术后的60眼(88.2%)，0.3以上者从术前的3眼(4.4%)提高到术后的37眼(54.4%)。手术前后最佳矫正视力(BCVA)差异具有统计学意义(t=8.986，P<0.01)。

结论：玻璃体视网膜手术可以使大部分独眼患者避免因玻璃体视网膜疾病导致的盲和低视力。

METHODS: A total of 68 patients(68 eyes)with contralateral blindness were enrolled in this retrospective consecutive study. The clinical characteristics, surgical procedures and temponade materials chosen, preoperative and postoperative visual acuity, complications and prognosis were analyzed. The follow-up ranged from 4 months to 5 years, with an average of(11.30±9.57)months. At the last follow-up, the surgical effects were evaluated.

RESULTS:After operation, visual acuity increased significantly. The number of eyes with vision of 0.05 or better increased from 22 eyes(32.4%)preoperative to 60 eyes(88.2%)postoperative, and that of 0.3 or better from 3 eyes(4.4%)to 37 eyes(54.4%). The best-corrected visual acuity before and after surgery also differed significantly(t=8.986, P<0.01).

CONCLUSION: With vitreoretinal surgery, visual impairment or loss due to vitreoretinal diseases can be avoided in most patients with contralateral blindness.