长期存留的眼内金属异物临床特点分析  

Analysis of the clinical features of long-term retained metallic intraocular foreign bodies

作　　者：陈胜 刘身文 刘珂 李洁 Chen Sheng;Liu Shenwen;Liu Ke;Li Jie(Shenzhen Municipal Eye Hospital,Shenzhen Key Laboratory of Ophthalmology,Affiliated Shenzhen Eye Hospital of Jinan University,Joint College of Optometry,Shenzhen University,Shenzhen 518040,China)

机构地区：[1]深圳市眼科医院,深圳眼科学重点实验室,暨南大学附属深圳眼科医院,深圳大学眼视光学院,518040

出　　处：《中华眼外伤职业眼病杂志》2020年第10期737-741,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：深圳市科技计划项目(JCYJ20180228164300106)。

摘　　要：目的分析长期存留的眼内金属异物的临床特点。方法回顾性分析深圳市眼科医院2017年1月至2019年11月长期存留的眼内金属异物7例(7只眼)的临床资料。记录异物存留时间,异物大小、位置、并发症、最佳矫正视力和视网膜情况。结果7例均行玻璃体切除术及晶状体手术并眼内异物摘出术。术后随访3个月以上,视网膜均平伏,末次随访视力提高3眼,视力不变4眼,无视力下降者。异物存留时间为2个月~20年,平均为(7.66±9.12)年。异物均较小,多位于眼底周边部。并发症包括外伤性白内障者7例,继发性青光眼者2例和葡萄膜炎者1例。结论长期存留眼内金属异物位于眼底周边部者无视网膜脱离,易于漏诊。眼外伤患者均应进行X线检查,最好是CT检查,以免漏诊。Objective To analyze the clinical characteristics of long-term retained metallic intraocular foreign body.Methods The clinical data of 7 eyes of 7 patients with long-term retained metallic foreign bodies from Jan.2017 to Nov.2019 in Shenzhen Municipal Eye Hospital were analyzed retrospectively.The retention time,size,location of intraocular foreign body,the complications,the best corrected visual acuity(BCVA)and condition of retina were recorded.Results All 7 patients underwent vitrectomy,phacectomy and intraocular foreign bodies extraction.All cases were followed up for more than 3 months postoperatively,with flattened retina.The visual acuity at 3 months postoperatively was improved in 3 eyes,unchanged in 4 eyes,and none decreased.The retention time of foreign bodies was from 2 months to 20 years,with an average of(7.66±9.12)years.All the intraocular foreign bodies were small and located on the peripheral region of the fundus.The complications included 7 cases with traumatic cataract,2 cases with secondary glaucoma and 1 case with uveitis.Conclusion The long-term retained intraocular metallic foreign bodies are easy to be missed due to their smallness and locations around the fundus.No retinal detachment occurrs.X-ray,preferably CT examination should be given to all patients with ocular trauma.

关 键 词：眼异物 金属性 长期存留 摘出术 异物 眼内 并发症 漏诊 

分 类 号：R779.6[医药卫生—眼科]