眼后段眼内异物行玻璃体手术21例临床观察  

Intuaocular foreign bodies in posterior segment by vitrectomy in 21 cases

作　　者：张招德[1] 唐涵锋[1] 王雨晴[1] 

机构地区：[1]福建医科大学教学医院宁德市医院眼科,352100

出　　处：《中国实用医刊》2012年第21期28-30,共3页Chinese Journal of Practical Medicine

摘　　要：目的评价眼球穿孔伤合并眼内异物行玻璃体视网膜手术联合异物摘出手术的效果及其并发症的防范。方法眼球穿孔伤合并眼内异物21例以常规玻璃体切除术切除异物周围及病变的玻璃体，20例以异物镊从巩膜穿刺口取出，1例巨大异物从后方托起后从前房角巩缘切口处接力取出。有视网膜裂孔和（或）视网膜脱离者进行硅油或全氟化碳气体（C3F8）充填和视网膜光凝治疗。术后随访6个月。结果21例均顺利摘出异物，20例患者术后视力较术前明显改善，仅1例术后视力无光感。结论①玻璃体视网膜手术由于其手术在直视下进行，减少手术的盲目性，具有对正常组织损伤小及异物摘出成功率高等特点，所以是眼内异物摘出术中较理想的手术方式。②玻璃体视网膜手术可以同时有效去除屈光间质浑浊、治疗外伤后视网膜病变及玻璃体出血等并发症，提高手术成功率及术后复明几率。Objective To evaluate the clinical effect of treating the eyeball perforation of intraocular foreign bodies with vitreoretinal combined ted the complications. Methods Twenty-one cases with foreign bodies extraction operation, and prevenof eye perforation and intraocular foreign bodies cut offthe with pathological vitreous around foreign bodies conventional yitrectomy. Twenty cases offoreign bodies taked out from the sclera puncture mouth with the tweezers, 1 case of large foreign bodies taked out from the corneosclera incision getting by holding up from behind. The patients of retinal hole and/or retinal detachment treat the silicon oil or the perfluorocarbon gas（C3F8） filling and retina photocoagulation. All patients were followed up for 6 months. Results Twenty-one cases were successful extracted foreign body. Eyesight of 20 patients significantly improve than before operation and only one case had visual acuity light feeling after operation. Conclusions thophoria, reduce the blindness of surgery, smally （1）Vitreoretinal surgery due to undergo surgery in o damage normal tissue and successfully extract foreign rate higher, so vitreoretinal surgery is the ideal way treating intraocular foreign bodies. （2）Vitreoretinal operation can effectively wipe off complications of refractive interstitial turbidity, retinopathy after trauma and vitreous hemorrhage. It can improve the success rate and postoperative emersion probability.

关 键 词：眼后段 内异物 玻璃体视网膜手术 

分 类 号：R77[医药卫生—眼科]