20G标准三通道玻切治疗外伤性脉络膜上腔出血

摘要

Objetive To evaluate the therapeutic effect of using 20G standard three-channel vitrectomy without increasing incision on choroidal hemorrhage caused by severe ocular trauma Methods From October 2011 to October 2014 our department treated 29 patients (29 eyes) of severe ocular trauma with a clear eye Bus choroidal hemorrhage with Vitrectomy,After perfusion, choroidal hemorrhage was drained through puncture opening of 20G vitrectomy . And we performed vitrectomy through this incision, dealing with vitreous hemorrhage or retinal damage. Finally, gas or silicone oil was filled into eyes. Results Intraoperative choroidal hemorrhage of 25 patients was drained completely, Small amount of blood remained in suprachoroidal space in 4 patients, showing small pieces of choroid uplift. We filled silicone oil retina resetted after one month. Visual acuity was improved in all patients.Conclusions The use of without increasing three-channel incision scleral incision vitrectomy drained of traumatic choroidal hemorrhage effectively, achieving the desired effect.%目的：评价不增加切口的20G标准三通道玻璃体手术治疗严重眼外伤脉络膜上腔出血的疗效。方法对2011年10月至2014年10月间我科收治的29例（29眼）严重眼外伤合并脉络膜上腔出血的病人采取玻璃体手术治疗，置灌注后，通过板层的20G玻切穿刺口引流脉络膜上腔积血，再通过此切口行玻璃体手术，处理玻血和或网膜损伤，术终眼内填充气体或硅油。结果25例患者术中脉络膜上腔出血充分引流完全复位，4例患者残留少量积血，表现为小块脉络膜隆起，注入硅油后，术后一月复查网膜复位。所有患者术后视力均有改善。结论采用不增加切口的三通道玻切的巩膜切口可以有效引流外伤性脉络膜上腔出血，达到理想疗效。