平坦部玻璃体切割术在眼内异物摘出中的应用  

Pars plana vitrectomy for extraction of intraocular foreign bodies

作　　者：刘钢[1] 胡雨珠[1] 马红卫[1] 

机构地区：[1]南京铁道医学院附属徐州医院眼科,221009

出　　处：《眼科》2000年第1期14-16,共3页Ophthalmology in China

摘　　要：目的 :回顾性分析平坦部玻璃体切割术治疗眼内异物的临床效果。方法 :对 3 2例 ( 3 2只眼 )眼外伤伴有眼内异物患者施行玻璃体切割术、晶体切割术、眼内异物摘出术、视网膜脱离复位及巩膜环扎等联合手术。结果 :眼内异物均一次性摘出。随访 1～ 1 8个月 ,术后视力提高者 2 4只眼 ( 75%、裸眼或矫正视力≥ 0 1者 1 7只眼 ,0 0 2～ 0 0 8者 7只眼 ) ,不变者 3只眼 ,下降者 5只眼 (眼球萎缩 )。结论 :应用平坦部玻璃体切割术摘出眼内异物损伤小、准确且安全 ,有利于及时处理并发症和提高术后视力 。Objective:To evaluate the clinical effect of par plan vitrectomy(PPV) for intraocular foreign bodies(IOFBs) retrospectively.Methods:32 cases (32 eyes) of IOFBs were performed PPV,Lensectomy,removal of IOFBs,retinal reattachment and circular buckling surgery.Results:The IOFBs were extracted successfully in all cases.The follow up duration was 1 18 months.Post operative visual acuity was improved in 24 eyes(75%,the visual acuities with correction or without correction were 0 1 or better in 17 eyes,0 02～0 08 in 7eyes);not changed in 3 eyes and decreased in 5 eyes(eyeball atrophy).Conclusion:PPV in combination with IOFBs extraction is less damaging,accurate and safe.It is favorable for the management of complications and the increase of postoperative vision.It is worth popularizing.

关 键 词：玻璃体切除术 眼异物 眼损伤 

分 类 号：R779.6[医药卫生—眼科]