玻璃体切除术治疗复杂眼内异物  

Vitrectomy for complicated intraocular foreign body

作　　者：秦波[1] 李柏军[1] 刘身文[1] 刘引[1] 成洪波[1] 

机构地区：[1]暨南大学附属深圳眼科医院深圳市眼科医院,广东深圳518040

出　　处：《中华眼外伤职业眼病杂志》2012年第11期812-815,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨玻璃体切除术治疗复杂眼内异物的临床疗效。方法回顾分析我院眼外伤科118例（118眼）复杂眼内异物的临床资料，对手术效果进行分析。结果一次性摘出异物116眼（98．3％）。视力提高98眼（83．0％），视力无改变12眼（10．2％），视力下降8眼（6．8％）；术中92眼行视网膜激光光凝（80％）；68眼行硅油填充（57．6％）；8眼行一期人工晶状体植入（6．8％）；术后并发视网膜脱离9眼（7．6％）；继发性眼压升高26眼（22．0％）；眼球萎缩2眼（1．7％）。结论玻璃体切除治疗复杂眼内异物有其独特的优势，手术时机的选择、手术过程的设计和术后并发症的处理对手术效果有重要意义。Objective To evaluate the clinical effects of vitrectomy for complicated intraoeular for- eign body. Method Clinical data of 118 cases （ 118 eyes） with complicated intraocular foreign bodies trea- ted with pars plana vitrectomy were analyzed retrospectively, the results of operations were summarized. Re- suits The foreign bodies of 116 cases were successfully removed（98.3% ）. Visual acuity improved in 98 eyes （ 83.0% ） , remained unchanged in 12 eyes （ 10.2% ） and decreased in 8 eyes （6.8%） ;92 cases had accepted retinal laser photocoagulation （80%） ; 68 cases （57.6%） had accepted silicone oil tamponade;8 cases （6.8%） had undergone intraocular lens implantation. Postoperative complications included retinal de- tachment in 9 eyes（ 7.6% ） ;secondary elevation of intraocular pressure in 26 eyes （22.0%） ; and eyeball atrophy in 2 eyes （ 1.7% ）. Conclusion Vitrectomy in the treatment of complicated ocular trauma with in- traocular foreign body has clinical advantages. The time of the operation, the design of surgical procedures and postoperative complications palyed important roles in the success of the surgery.

关 键 词：玻璃体切除术 眼内异物 

分 类 号：R779.6[医药卫生—眼科]