经角膜缘切口的眼内异物摘出术  

Extraction of intraocular foreign body from the limbal incision

作　　者：秦波[1] 刘身文[1] 李柏军[1] 陈胜[1] 郭慧[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,深圳518040

出　　处：《中华眼外伤职业眼病杂志》2014年第1期8-11,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察经角膜缘切口的眼内异物摘出术的效果、适应证和并发症。方法回顾分析18例（18只眼）眼内异物行玻璃体切除及经角膜缘切口行异物摘出术的临床资料；分析手术中的操作损伤程度、手术效果以及手术中和手术后并发症。结果所有患眼均一次摘出异物；术中晶状体囊撕裂2只眼，异物摘出过程中掉入玻璃体腔1只眼，后再次成功取出。未发生感染性眼内炎、医源性视网膜脱离、脉络膜脱离或其他与手术切口相关的并发症。随访3～12个月，平均（5．25±1．14）个月，视力提高14只眼，视力无明显改变2只眼，视力下降2只眼。结论经角膜缘切口的眼内异物摘出术具有手术操作简单、创伤小、并发症少等优点，主要适用于眼内异物直径较大、并有外伤性白内障，玻璃体视网膜病变的患者。Objective To observe the clinical curative effect, indications and complications in ex- traction of intraocular foreign body （IOFB） from the limbal incision. Methods Eighteen eyes of 18 cases of IOFB were analyzed retrospectively, which underwent vitreetomy combined with removal of IOFB from the limbal incision. The intraoperative and postoperative complications were analyzed. Results Intraocular for- eign bodies were extracted successfully in all of the eyes. During the surgery, 2 eyes complicated with lacera- tion of lens capsule. One eye with foreign body fallen into the vitreous cavity, and then the foreign body was successfully removed. No other complication occurred, such as infectious endophthalmitis, retinal detach- ment, iatrogenic choroidal detachment, other complications associated with surgical incision. In the follow- up of 3 to 12 months, average （5.25 ± 1.14） months, the BCVA increased in 14 eyes, unchanged in 2 eyes, and decreased in 2 eyes. Conclusion Vitrectomy combined with removal of intraocular foreign body froln the limbal incision is an effective method, which is a simple, less invasive operation, with fewer compli- cations. It is mainly applied to larger IOFB with traumatic cataract and vitreous retinopathy.

关 键 词：切口 角膜缘 异物 眼内 

分 类 号：R779.6[医药卫生—眼科]