目的：探究复杂性外伤性和非外伤性视网膜脱离术后视力恢复的相关影响因素。

方法：根据患者入院前患眼是否有外伤史，将135例复杂性视网膜脱离患者分为外伤组(66例66眼)和非外伤组(69例69眼)。比较两组患者行玻璃体视网膜手术治疗后视力恢复效果及并发症发生情况； 采用Logistic回归分析法分析影响两组患者术后视力恢复的相关因素。

结果：术后24h，外伤组和非外伤组患者视力恢复率(77.3%和78.3%)差异无统计学意义(P>0.05)。术后随访3mo，两组患者并发症发生率(18.2%和17.4%)差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示，年龄、损伤类型、视网膜脱离时间、视网膜脱离范围、术前合并玻璃体积血以及增生性玻璃体视网膜病变与外伤性视网膜脱离患者术后视力恢复显著相关(P<0.05)； 年龄、视网膜脱离时间、视网膜脱离范围以及黄斑状态与非外伤性视网膜脱离患者术后视力恢复显著相关(P<0.05)。

结论：年龄、视网膜脱离时间、视网膜脱离范围与外伤性和非外伤性视网膜脱离患者视力恢复情况显著相关； 损伤类型、术前合并玻璃体积血及增生性玻璃体视网膜病变与外伤性视网膜脱离患者视力恢复情况显著相关； 黄斑状态与非外伤性视网膜脱离患者视力恢复情况显著相关。

METHODS: According to the history of ocular trauma before admission, 135 patients with complex retinal detachment were divided into traumatic group(n=66, 66 eyes)and non-traumatic group(n=69, 69 eyes). The results of visual recovery and complications were compared between the two groups. Logistic regression was used to analyze the related factors of visual recovery in the two groups.

RESULTS: There was no significant difference in the recovery rate between the two groups within 24h after surgery(77.3% vs 78.3%, P>0.05), and there was no significant difference in the total incidence of complications at 3mo after surgery(18.2% vs 17.4%, P>0.05). Multifactorial Logistic regression analysis showed significant correlation between age, injury type, time since retinal detachment, rage of retinal detachment, preoperative vitreous blood, proliferative vitreoretinopathy(PVR)and postoperative visual recovery in patients with complex traumatic retinal detachment(P<0.05); age, time since retinal detachment, rage of retinal detachment and macular status were significantly associated with visual recovery in patients with complex non-traumatic retinal detachment(P<0.05).

CONCLUSION: Age, time since retinal detachment and rage of retinal detachment were significantly associated with traumatic and non-traumatic retinal detachment. The injury type, preoperative vitreous hemorrhage, PVR were significantly correlated with the visual recovery of traumatic retinal detachment patients. The condition of macular was significantly associated with the visual recovery of non-traumatic retinal detachment patients.