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目的 探讨晶状体玻璃体视网膜手术 (Lenticular-vitreoretinalsurgery,LVR)联合硅油填充治疗复杂性外伤性视网膜脱离的效果。方法 对33例 (33只眼 )应用晶状体玻璃体视网膜手术联合硅油填充治疗的外伤性视网膜脱离进行回顾性分析。结果 解剖性成功者30只眼 (90.91 % ) ,功能性成功者29只眼 (87.87% )。结论 LVR联合硅油填充是治疗复杂性外伤性视网膜脱离的主要方法 ,显著影响手术预后的因素是前部PVR和术中、术后眼内出血及角膜外伤病变。
Objective To investigate the effect of lenticular vitreoretinalurgery (LVR) combined with silicone oil in the treatment of complicated traumatic retinal detachment. Methods A retrospective analysis of 33 cases (33 eyes) with traumatic retinal detachment treated with vitreoretinal surgery and silicone oil filling was performed. Results Anatomically successful 30 eyes (90.91%), functional success 29 eyes (87.87%). Conclusions LVR combined with silicone oil filling is the main method for the treatment of complex traumatic retinal detachment. The factors that significantly affect the prognosis of surgery are anterior PVR and intraoperative and postoperative intraocular hemorrhage and corneal trauma.