玻璃体切除术在眼内异物摘出中的应用  

Vitrectomy for extraction of intraocular foreign bodies

作　　者：宋绣雯[1] 王元芳[1] 李秋明[1] 张效房[1] 

机构地区：[1]河南医科大学第一附属医院眼科

出　　处：《中华眼科杂志》1997年第4期283-285,共3页Chinese Journal of Ophthalmology

摘　　要：目的评价玻璃体切除术治疗眼内异物伤的效果及影响因素。方法对行玻璃体切除联合眼内异物摘出的５１７例（５３３只眼）住院患者进行回顾性研究。结果眼内异物摘出率为９７．６％，术后有用视力（本组为０．０５～０．４）由术前的１２．５％增至２３．２％，良好视力（本组为≥０．５）由７．２％增至１７．０％（Ｐ＜０．００５）。当异物位于前段、玻璃体、视网膜时，术后有用视力增加率分别为４４．４％、２５．１％、１０．７％，良好视力增加率分别为２６．３％、１２．７％、２．７％。结论通过玻璃体切除术有利于摘出眼内异物和提高术后视力。Objective To evaluate the effect of treatment of intraocular foreign bodies (IOFBs) with vitrectomy and its influential factors. Methods A retrospective research was done on 517 in patients having undergone extraction of IOFBs with vitrectomy. Results Postoperatively, the successful rate of the extraction of IOFBs was 97.6%, the rate of cases with useful vision (0.05 to 0.4) increased from preoperative 12.5% to 23.2% and that with good vision (0.5 and better) from 7.2% to 17.0% ( P <0.005). When IOFBs were located in anterior segment, vitreous and retina, the increasing rates of cases with useful vision respectively were 44.4%, 25.1% and 10.7%, and that of good vision were 26.3%, 12.7% and 2.7%. Conclusions Vitrectomy is favorable for the extraction of IOFBs, the increase of postoperative vision and the management of complications.

关 键 词：玻璃体切除术 眼内异物 

分 类 号：R779.140.5[医药卫生—眼科]