关键词: 显微眼内镜, 眼外伤, 联合手术

Abstract: Objective To evaluate the effect of ocular micro-endoscope to treat complicated ocular trauma. Methods 92 patients with severe ocular trauma were treated with complicated post-segment operations under ocular micro-endoscope, including lens-vitrectomy, cyclophotocoagulation, intraocular foreign body extraction, retina reattachment, peripheral retina examination. Results 52 patients with post-segment disorders and severe cornea cloudy were undergone with vitrectomy under the micro-endoscope. All intraocular foreign bodies were extracted. Those patients with retina detachment were tamponated with silicone oil and their retina got anatomic reattachment. 40 patients with secondary glaucoma were treated with cyclophotocoagulation. Theintraocular pressure of 34/40 patients were under control and the mean intraocular pressure was ( 16.79±3.01) mmHg [(2.24±0.40)kPa].The intraocular pressure in 6/40 patients were out of control and they were retreated with trans-sclera photocoagulation. Conclusion Operations in ducted by micro-endoscope are useful for the patients,who got post-segment disorders complicated with cornea-opacity or refractory glaucoma.

Key words: ocular micro-endoscope, ocular trauma, combined operation