视力良好患者磁性眼内异物摘出方法的探讨  

Discussion of different vitreoretinal surgery of magnetic intraocular foreign body extraction for patients with good vision

作　　者：万光明[1] 马鸿潇[1] 李秀娟[1] 梁申芝[1] 郭强英[1] 张效房[1] 

机构地区：[1]郑州大学第一附属医院眼科,450052

出　　处：《中华眼外伤职业眼病杂志》2014年第2期86-88,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 探讨术前视力良好者不同方式经玻璃体磁性眼内异物摘出的效果.方法 46例（46只眼）磁性眼内异物者为研究对象,患眼屈光间质透明,术前矫正视力≥0.6,检眼镜下可见异物位于玻璃体腔或附着于视网膜,于伤后第2～6天手术.A组：12只眼,行导光纤维下单纯眼内异物摘出;B组：15只眼,行局限性玻璃体切除及眼内异物摘出;C组：19只眼,行玻璃体全切除及眼内异物摘出.术中进行局部视网膜光凝.结果 46例异物均顺利摘出.术后3个月：A组矫正视力均≥0.6,无视网膜脱离等并发症发生;B组13例视网膜平伏,矫正视力≥0.6,2例发生视网膜脱离;C组15例视网膜平伏,矫正视力≥0.6,4例发生视网膜脱离.结论 对于术前视力良好的磁性眼内异物,进行异物摘出时可选择导光纤维下单纯眼内异物摘出术.Objective To investigate the clinical effects of different vitreoretinal surgery of magnetic intraocular foreign body（IOFB） extraction on eyes with good vision.Methods Forty-six eyes of 46 patients of magnetic IOFB with good visual acuity were included in this study.The preoperative visual acuity of all 46 eyes were better or equal to 0.6.The IOFB could be seen floating in the vitreous or embeding on the retina with ophthalmoscope.All the 46 eyes accepted surgery within 2 to 6 days after the injury.Group A：The extraction of IOFB was guided by optical fiber with no vitrectomy in 12 eyes.Group B：Partial vitrectomy and IOFB extraction were performed in 15 eyes.Group C：19 eyes accepted complete vitrectomy and IOFB extraction.The laser photocoagulation around the retinal wound was performed where necessary.Follow-up time：3 months minimum.Results All the IOFBs were extracted successfully.During the follow up periods,the best corrected visual acuity （BCVA） and complications were as follows：In group A,all the BCVA were better than 0.6,and no complications occurred; In group B,the BCVA of 13 eyes were better than 0.6,and the other 2 eyes occurred retinal detachment; In group C,the BCVA of 15 eyes were better than 0.6,and the other 4 eyes occurred retinal detachment.Conclusion For eyes with magnetic IOFBs and good vision,we can choose the surgery of IOFBs extraction guided by optical fiber without vitrectomy.

关 键 词：异物 眼内 磁性 手术 摘出 玻璃体切除术 

分 类 号：R779.14[医药卫生—眼科]