眼内铜异物22例(25眼)临床分析  

Clinical evaluation of 22 cases (25 eyes) with copper intraocular foreign body.

作　　者：闻祥根[1] 白宁艳[2] 林小铭[1] 汪振芳[1] 

机构地区：[1]广州中山医科大学中山眼科中心,510060 [2]贵州省黔西南州人民医院眼科

出　　处：《眼外伤职业眼病杂志》2000年第1期11-12,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　讨论眼内铜异物的定位方法和摘出术式以提高成功率。方法　金属环X线正、侧、轴位片及薄骨正、侧位片 ;微小铜异物加摄无骨 ,钼靶软X线片 ;必要时作巩膜面“H”型金属标记摄片 ;在手术显微镜直视下分别采用角膜缘切口 ,平坦部切口 ,巩膜视网膜切口 ,以及联合闭合式玻璃体切除术。结果　手术成功率 10 0 % ,术中、术后无严重并发症 ,视力都有提高。结论　眼内铜异物在准确定位的前提下 ,需在手术显微镜直视下摘出 ;对眼后段铜异物的摘出 ,须联合玻璃体切除术。Objective To discuss the localization and extraction of copper intraocular foreign body.Methods Take ring localization at the limbus and X ray radiography with eutopic,lateral,axial and thin bone radiography.To minus copper intraocular foreign bodies,molybdenum palladium roentgenography may be taken and ″H″ metal marker may be necessary in the operation.Take the procedure respectively with different incision:such as limbus incision,pars plana incision and scleral retinal incision,sometimes combined standard three pot vitrectomy.Results The rat of surgical success is one hundred percent.Few complications were found during and after the operation.Visual acuity of all patients was improved.Conclusion Based on the accurate location,the extraction of posterior segmental copper intraocular foreign bodies can be taken under operating microscope,combined with vitrectomy.The management is safe,accurate.It reduce surgical complications and improve the rat of success.

关 键 词：眼内异物 铜 玻璃体联合手术 金属异物 

分 类 号：R779.1[医药卫生—眼科]