23 G微创玻璃体切割系统在严重眼外伤玉期眼前段重建的应用

摘要

目的：探讨23 G微创玻璃体切割系统在严重眼外伤Ⅰ期眼前段重建的应用。　　方法：对本院15例严重眼外伤患者在Ⅰ期眼前段重建成中应用23 G微创玻璃体切割系统，包括眼球角巩膜破裂伤合并前房积血、前房玻璃体疝、外伤性晶状体破裂、晶状体半脱位。　　结果：所有手术后早期眼前段屈光介质透明性恢复快，眼部反应轻，无纤维炎性渗出膜形成，未发现与穿刺口相关的并发症。　　结论：23 G微创玻璃体切割系统可在眼外伤Ⅰ期眼前段重建中得到应用，可减少伤眼医源性损伤，减少手术并发症，减轻炎症反应，促进伤眼修复，缩短治疗时间。%AIM: To evaluate the use of 23G minimally invasive vitreous cutting system in the first stage of anterior segment reconstruction on severe ocular injury. METHODS: Fifteen patients with ocular injuries including the corneal and scleral rupture associated hyphema, vitreous hernia in anterior chamber, traumatic lens rupture, lens subluxation, applied 23G minimally invasive vitreous cutting system in the first stage of anterior segment reconstruction. RESULTS: The anterior ocular media of early postoperative became transparent quickly. No exudative lemma and no complications were found relate to puncture incisions after operations. CONCLUSION:23G minimally invasive vitreous cutting system can be used in the first stage of anterior segment reconstruction on sever ocular injury. It can reduce iatrogenic injury, operative complications and inflammatory response, also can shorten therapeutic time and create favorable conditions.