Ocular trauma with retinal detachment Perioperative Nursing.doc

 PAGE \* MERGEFORMAT 12 Ocular trauma with retinal detachment Perioperative Nursing [Keywords:] eye; trauma; retinal detachment; operative period; Care Ocular trauma with retinal detachment complicated because of illness, treatment is difficult, often an end result in removal of the eye or ocular atrophy. In recent years with modern vitreoretinal microsurgery carried out, treatment has improved, but the patient’s condition complex, multi-step surgical procedure, operative time is longer, the eye interference, severe postoperative reaction, the larger the possibility of complications, so that eye care is facing new challenges. in our hospital from January 2008 to 12 severe ocular injuries were treated on retinal detachment 84 patients, through the line after vitreoretinal surgery and effective care to achieve better therapeutic effect, are as follows. 1 Materials and Methods 1.1 General Information selection in January 2008 to December Tianjin Eye Hospital, patients admitted to a total of 84 cases, 69 cases were male and 15 female patients, aged 3 to 70 years, mean 36.7 years old. Eyeball rupture in 45 cases, perforation injury 26 cases, of which 16 cases of intraocular foreign body combined, 13 cases of blunt ocular trauma. preoperative routine eye examination, ultrasound, color Doppler, and visual function. 1.2 The surgical methods used by the standard three-channel pars plana vitrectomy, according to intraoperative lens opacity be retained or removed. Intraoperative removal of turbidity of the vitreous and the machine and find the hole, epiretinal proliferative membrane peeling, loose scar solution, if necessary, line retinotomy. use of heavy water, or air-fluid exchange flattened retina, the eye line of frozen scleral laser or closed hole, retinal detachment surgery, in accordance with the extent and proliferation of selected long-acting gas or silicone oil. 2 Results 63 cases of silicone oil, 3 to 6 months of silicone oil removal, 13 pa