眼球贯通伤合并眶内异物的玻璃体手术  

Vitrectomy in ocular perforating injury accompanied by intraorbital foreign body/

作　　者：庞秀琴[1] 王文伟[1] 

机构地区：[1]北京同仁医院眼科,100730

出　　处：《眼科》1996年第1期33-34,共2页Ophthalmology in China

摘　　要：对21例眼球贯通伤合并眶内异物施行了玻璃体切除术,其中3例同时取出了眶内异物。保存有用视力17只限(81%)。0.09以下8只眼(38.1%),0.1～0.4 10只眼(47.6%),1.0以上1只眼(4.8%)。眼球萎缩2只眼(9.5%),其中1只眼已行眼球摘出。随诊观察平均12个月。对手术时机、贯通伤是否合并视网膜脱离以及眶内异物的摘取进行了讨论。Vitrectomy was performed on 21 patients with ocular perforating (through-and-through) injury accompanied by intraorbital foreign body. The orbital foreign bodies in 3 cases were extracted during the operation. Functional visual success was obtained in 17 eyes (81%). Lower than 0.09 visual acuity was obtained in 8 eyes (38.1%); 0.1—0.4, in 10 eyes (47.6%); and higher than 1.0, in 1 eye (4.8%). Atrophy of the globe occurred in 2 eyes (9.5%) in which 1 eye has already been enucleated. The mean follow-up period was 12 months. The optimal operative time, the perforating injury with or without retinal detachment, and the extraction of orbital foreign body were discussed.

关 键 词：眼损伤 贯通伤 眼内异物 眼外科手术 

分 类 号：R779.1[医药卫生—眼科]