玻璃体切除手术联合角巩膜缘切口摘除眼内巨大异物  

Vitrectomy combined with giant intraocular foreign body removal through the corneal limbus

作　　者：范玲玲[1] 颜华[1] 

机构地区：[1]天津医科大学总医院眼科,300052

出　　处：《中华眼视光学与视觉科学杂志》2015年第2期73-75,共3页Chinese Journal Of Optometry Ophthalmology And Visual Science

摘　　要：目的 评价玻璃体切除手术联合角巩膜缘切口摘除眼内巨大异物手术的疗效,并分析其相关因素.方法 回顾性病例研究.分析2008-2013年因外伤导致眼内巨大异物于天津医科大学总医院接受治疗的5例（5眼）患者临床资料,其中男4例（4眼）,女1例（1眼）.术前视力光感～0.1,眼压5～24 mmHg（1 mmHg=0.133 kPa）.所有患者均接受玻璃体切除手术联合角巩膜缘切口摘除眼内巨大异物.5眼术前均合并视网膜脱离.术中眼内填充C3F81眼,硅油4眼.术后随访1～5年.结果 5例眼内巨大异物均一次性取出.术后视力均提高,术后眼压10～21 mmHg.术后视网膜均复位,术后并发症主要包括暂时性高眼压1眼,前房炎性渗出2眼,玻璃体腔少量积血1眼.结论 玻璃体切除手术联合角巩膜缘切口摘除眼内巨大异物是一种安全有效的方法。Objective To evaluate the efficacy of vitrectomy combined with giant intraocular foreign body removal through the corneal limbus; to analyze the relevant factors.Methods The clinical data of 5 patients （5 eyes） with giant intraocular foreign bodies who were treated from 2008 to 2013 were analyzed retrospectively.Four patients were males and 1 patient was a female.The preoperative visual acuity ranged from light perception to 0.1.Intraocular pressure ranged from 5 to 24 mmHg.All patients underwent vitrectomy combined with giant intraocular foreign body removal through the corneal limbus.All 5 eyes had retinal detachment preoperatively.One eye was filled with C3Fs and silicone oil was injected in 4 eyes during the surgery.The mean follow-up was 2.5 years with a range from 1 to 5 years.Results The giant intraocular foreign bodies were extracted successfully in all 5 eyes.Postoperative visual acuity increased in the 5 eyes.Intraocular pressure was 10 to 21 mmHg.The retina was attached in all eyes postoperatively.Postoperative complications included temporary intraocular pressure elevation in 1 eye,fibrosis exudates in the anterior chamber of 2 eyes,and slight vitreous hemorrhage in 1 eye.Conclusion Vitrectomv combined with giant intraoeular foreign body removal through the corneal limbus is a safe and effective method.An appropriate surgical technique should be chosen according to the shape and size of the intraocular foreign body.

关 键 词：玻璃体切除手术 眼损伤 穿透性 眼异物 角巩膜缘切口 

分 类 号：R779.6[医药卫生—眼科]