眼内异物处理的临床实践与要点  

Clinical practice and key points in the management of intraocular foreign bodies

作　　者：牛亮亮 江睿 NIU Liangliang;JIANG Rui(Department of Ophthalmology,Eye&ENT Hospital,Fudan University,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科,上海200031

出　　处：《中国眼耳鼻喉科杂志》2025年第1期19-23,共5页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：眼内异物是开放性眼外伤中常见的并发症,其诊断与处理是影响患者视力恢复的重要环节。本文详细阐述了眼内异物的诊疗“4S原则”(眼内异物存留的征象、努力看见异物、异物定位及手术)中手术处理眼内异物的临床实践与要点。本文针对手术前准备、异物定位、手术方案设计、器械选择、术中操作及术后管理等方面进行了深入分析,尤其强调了术中切口的选择、异物取出路径的优化及微创技术的应用。通过个性化手术方案设计和术后随访管理,可有效降低并发症风险,改善患者预后,最大程度恢复视功能。Intraocular foreign bodies(IOFBs)are common complications associated with open-globe injuries,and their diagnosis and management play crucial roles in influencing visual recovery outcomes.This article provides a detailed explanation of clinical practices and key points in the surgical management of IOFBs based on the“4S Principle”(Signs,See,Site,Surgery).It offers an in-depth analysis covering preoperative preparation,foreign body localization,surgical planning,instrument selection,intraoperative procedures,and postoperative management,presenting standardized technical workflows and critical considerations.Particular emphasis is placed on the selection of surgical incisions,optimization of foreign body removal pathways,and the application of minimally invasive techniques.Through individualized surgical planning and postoperative follow-up,the risk of complications can be effectively reduced,patient outcomes improved,and visual function maximally restored.

关 键 词：开放性眼外伤 眼内异物 4S原则 手术处理 视功能 

分 类 号：R779.14[医药卫生—眼科]