开放性眼外伤玻璃体切除术后眼球摘除23例临床分析

摘要

Objective To evaluate the cause and risk factors leading to evisceration or enucleation af-ter vitrectomy for eye trauma.Methods 23 eyes of 23 cases with evisceration or enucleation after vitrectomy for eye trauma were analyzed retrospectively.The risk factors were measured by Logistic regression analysis. Results The causes of evisceration or enucleation after vitrectomy for eye trauma were retinal redetachrnent (19 eye), fail of retinal attachment (2 eye), endophthalmitis which could not be controlled (1 eye), hemoph-thalmia (1 eye).The risk factors of evisceration or enucleation were the size of incision, foreign body, endoph-thalmitis, PVR grade, no light perception and operative times before evisceration or enucleation.Conelusion The risk factors of evisceration or enucleation are the size of incision≥ 10mm,with foreign body or endoph-thalmitis, PVR grade≥ C2, no light perception and operative times≥ 3 before evisceration or enucleation.%目的 探讨开放性眼外伤玻璃体切除术后眼球摘除的原因和相关危险因素.方法 回顾性分析1997年1月至2007年1月收治的开放性眼外伤玻璃体切除术后眼球摘除23例(23只眼)患者的临床资料,采用Logistic多因素分析法筛选危险因素.结果 眼球摘除的原因:玻璃体切除术后视网膜脱离复发19只眼,玻璃体切除术中视网膜复位不良2只眼,外伤性眼内容炎不能控制1只眼,玻璃体切除术后玻璃体出血药物治疗长期不能吸收1只眼.眼外伤时伤口大小、有无异物伤、有无眼内炎、PVR分级、眼球摘除前视力、手术次数与眼球摘除相关.结论 开放性眼外伤玻璃体切除术后眼球摘除的危险因素为外伤时伤口长大于10mm、伴异物或眼内炎,玻璃体切除时PVR分级C2或以上,眼球摘除前视力无光感,眼球摘除前手术次数≥3次.