眼内异物78例临床特征及疗效分析  

Clinical characteristics and efficacy of intraocular foreign bodies in 78 cases

作　　者：王立华[1] 韩英军[1] 梁天蔚[1] 

机构地区：[1]中国北京市仁和医院眼科,102600

出　　处：《国际眼科杂志》2013年第8期1660-1662,共3页International Eye Science

摘　　要：目的: 分析眼内异物的流行病学特点、并发症的治疗和预后。方法: 回顾分析78例眼内异物病例资料,包括年龄、性别、致伤原因、视力、并发症、手术方法、眼内炎发生的危险因素及治疗方法。结果: 青壮年男性是眼内异物的多发人群,主要致伤原因为锤击伤。眼后段异物和爆炸伤视力预后差。眼前段异物全部取出,眼后段异物行玻璃体切割术,取出率为93%,眼内炎发生率为9%,经玻璃体切割联合眼内注药,炎症控制。结论: 加强安全宣教及劳动保护有助于减少球内异物发生,伤口早期正确处理、合理应用抗生素、以及玻璃体切割手术可以降低致盲率。·AIM： To investigate epidemiologic and clinical characteristics, complications, and visual outcomes of post-traumatic intraocular foreign body （IOFB）.·METHODS： Totally 78 patients with IOFB injury were retrospectively reviewed. Data on age, sex, activity at the time of injury, initial and final visual acuity, complications, surgical methods were recorded. Special attention was paid on risk factors for endophthalmitis.·RESULTS： Male adults were the major population affected by IOFBs. Hammering was the most common activities at the time of injury. Explosive injury and posterior segment IOFB had bad final visual outcome. All of anterior segment IOFB was extracted, 93% posterior segment IOFBs was removed. Seven cases of endophthalmitis （9%） were found. Inflammation was controlled by vitrectomy combined with intraocular injection.· CONCLUSION. When primary wounds were repaired appropriately and extensive antibiotics administered. Even though advancement in vitreoretinal surgery can reduce the frequency of blindness, further promotion and education on eye protection during work are needed.

关 键 词：眼内异物 玻璃体切割 疗效 

分 类 号：R779.6[医药卫生—眼科]