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Endoscopy-assisted vitrectomy for severe ocular penetrating trauma with corneal opacity

International Journal of Ophthalmology(English edition) 2024年第12期17卷 2256-2264页

作者： Yong-Zhen Yu Liu-Lian Jian Wen-Xiao Chen Liang-Hong Peng Yu-Ping Zou Long Pang Xiu-Lan Zou Department of Ophthalmology General Hospital of Southern Theatre CommandGuangzhou 510010Guangdong ProvinceChina University of Traditional Chinese Medicine Guangzhou 510405Guangdong ProvinceChina Naval Medical University Shanghai 200433China Department of Ophthalmology Guangdong Provincial Hospital of Traditional Chinese MedicineGuangzhou 510120Guangdong ProvinceChina

AIM:To assess the utility and efficiency of endoscopyassisted vitrectomy(EAV)for the treatment of corneal opacity in severe ocular ***:Patients who underwent fundus examination using a preoperative slit lamp and intraoperative endoscopy,followed by EAV and additional surgery were retrospectively *** oil removal and penetrating keratoplasty were used in selected eyes at postoperative *** measurements included the best corrected visual acuity(BCVA),intraocular pressure(IOP),findings of endoscopic fundus examination,and postoperative ***:Twenty-one eyes with severe ocular trauma and corneal opacity were followed up for *** detachment(RD)and vitreous haemorrhage(VH)were identified in 16 eyes(76.2%),RD only in four eyes(19.0%),and VH combined with intraocular foreign body in one eye(4.8%).All eyes underwent at least three ***-Ⅰ surgeries involved wound closure(100%),lens extraction(76.2%),and anterior vitrectomy(14.3%).Stage-Ⅱ surgeries involved scleral buckling(28.6%),membrane peeling(47.6%),retinal laser photocoagulation(100%)and silicone oil tamponade(100%)using ***-Ⅲ surgeries were conducted using endoscopy including silicone oil removal(52.4%),retinal laser photocoagulation(52.4%)and penetrating keratoplasty(28.6%).Nearly all eyes showed improvements in BCVA and *** there were no severe complications,glaucoma was noted in one eye,chronic hypotony in another eye,and band keratopathy in three ***:EAV is an effective adjunct for restoring ocular anatomical structures and visual function in the case of corneal opacity after severe ocular trauma.

关键词： corneal opacity endoscopy-assisted vitrectomy penetrating keratoplasty severe ocular trauma retinal detachment

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