眼内异物及其并发症的临床分析  

Clinical Analysis on 80 Cases of Intraocular Foreign Bodies

作　　者：王云霄[1] 姜孝志[1] 姚琳[2] 白海青[1] 

机构地区：[1]青岛大学医学院附属医院眼科 [2]中山大学中山眼科中心

出　　处：《中国实用眼科杂志》2011年第9期972-974,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨眼内异物的治疗方法及其并发症的处理。方法收集眼内异物患者80例（84只眼）的临床资料，对其治疗方法和并发症的处理进行分析和总结。结果眼内异物伤多见于男性青壮年，以崩入眼内的异物伤（76．3％）最为常见，其次为爆炸伤（15．0％）。位于眼球后段的异物可导致较严重的视力下降。常见并发症包括外伤性白内障、视网膜脱离、增生性玻璃体视网膜病变、铁锈症等。经过适当的手术治疗后，视力较术前明显提高（Ridit分析，P〈0．05）。结论眼内异物伤严重危害视功能。尽快手术取出异物，大部分病人可获得较好的视功能。但视力预后仍取决于外伤和术后的并发症。陈旧性眼内异物常可导致不可逆性视力丧失。Objective To study the treatment and complications of intraocular foreign bodies （IOFBs）. Methods The records of 80 patients （84 eyes） were reviewed. Their treatment and complications were analyzed and summarized. Results IOFB injuries were more common in young male. The most popular causes of wound were spurt （76.3%） and explosion （15.0%）. IOFBs at the posterior seg- ment often resulted in permanent and serious visual loss. Common complications included traumatic cataract, retinal detachment, proliferative vitreoretinopathy, ophthalmic siderosis and so on. After appropriate surgery treatment, most patients could obtain better vision than preoperative （Ridit analysis, P〈0. 05）. Conclusions IOFB injuries usually result in serious visual morbidity. IOFBs should be removed as soon as possible. After surgery, most patients can recover a better visual function. But the visual outcomes still depend on the traumatic conditions and postoperative complications. Old IOFBs olden lead to irreversible visual disability.

关 键 词：眼内异物 眼损伤 

分 类 号：R779.14[医药卫生—眼科]