后段眼内异物摘出手术的不同方式  

Comparison of different methods in the management of posterior segment intraocular foreign body

作　　者：刘身文[1] 秦波[1] 李柏军[1] 陈胜[1] 刘引[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》2013年第6期410-413,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：【摘要】目的探讨不同方式摘出后段眼内异物的临床效果。方法对眼内异物62例（62眼）的临床资料进行回顾性分析。结果所有患者均一次摘出异物。外路摘出9眼，内路经睫状体平坦部切口摘出22眼，内路经角膜缘切口摘出31眼。随访6～12个月。内路摘出53眼中视力提高者45眼，视力无明显改变者6眼，2眼并发眼球萎缩后行眼球摘除；外路摘出9眼，视力提高者8眼，1眼并发视网膜牵引性脱离，后行玻璃体切除术。结论视情况选择不同方式行眼后段眼内异物摘出术，可有效地恢复眼球结构，避免并发症的发生。Objective To compare the clinical efficacy of different surgical methods in the manage- ment of posterior segment intraocular foreign body （IOFB）, which include IOFBs are removed through wall of eyeball （ from scleral wound, seleral incision or pars plana） or IOFBs are removed by vitrectomy （ from pars plana or limbus）. Methods The medical records of 62 cases （62 eyes） of posterior segment IOFB were retrospectively analyzed. Results Follow up was 6 - 12 months. In all cases, the IOFBs were re- moved in one surgery. Nine cases underwent removal of IOFBs through the wall of eyeball, 2 cases of which from scleral wound, 3 cases of which from scleral incision, 4 cases of which from pars plana. In these 9 ca- ses, visual acuities increased in 8 eyes and decreased in one eye which caused by retinal detachment and treated by vitrectomy. The IOFBs are removed by vitrectomy in 53 cases, 22 cases of which from pars plana and 31 cases of which from limbus. In these 53 cases, visual acuities increased in 45 eyes, were no change in 6 eyes and decreased in 2 eyes which caused by ocular atrophy and treated by enucleation. Conclusion The posterior segment IOFBs can be removed by different surgical methods which depends on the size and lo- cation of IOFBs. Correct choice of surgical methods can restore the anatomic structure of eyeball and avoid the surgical complications.

关 键 词：眼内异物 摘出 不同方式 

分 类 号：R779.6[医药卫生—眼科]