The clinical value of vitreoretinal surgery to save visual function in serious eyeball rupture

Objective To study clinical curative effect of vitreoretinal surgery for serious rupture of eyeball.Methods All the 12 cases( 12 eyes) of serious eyeballs rupture were ocular blunt trauma,with scleral mpture,choroidal hemorrhage,choroidal rupture,choroidal detachment and retinal detachment,etc.Primary to suture the wounds of sclera,return the prolapsed ocular contents as much as possible,and inject sodium hyaluronate into the eyeballs for recovering intraocular pressure figure of eyeball.To perform standard triple incision vitreoretinal surgery through pars plans after 7 - 10 days.Results The visual acuity were light perception to 0.03,and IOP ＞ 10 mmHg in 8 cases.The hydroxyapatite orbital implant surgery was performed for eyeball atrophy in one case.Different degrees of eyeball atrophy in 3 cases with light perception in vision.Eyeball enucleating and orbit implant in 1 case for dysfunctional corneal endothelium and bullous keratopathy 3 years later.Conclusion Vitreoretinal surgry,with strict selected indications,proper surgical timining and qualified surgical operation,could save most of serious eyeball rupture eyes. Key words: Vitreoretinal surgery;  Rupture of eyeball