论文部分内容阅读
目的:探讨急诊玻璃体手术治疗眼后段异物伤的临床疗效。方法:回顾性分析2005-01/2010-12在我院诊断为后段眼内异物的眼球穿通伤,急诊行玻璃体切割、异物取出术患者32例32眼的临床资料。结果:患者30例一次性取出异物。术后视力改善12例,视力不变的10例,视力下降的10例。术后继发性青光眼4例,视网膜脱离3例,眼球萎缩的2例。术中1例因角膜混浊、1例因眼内出血加重终止手术,择期手术成功取出异物。结论:急诊行玻璃体切割、异物取出术是治疗眼内异物的有效而及时的处理方法。
Objective: To investigate the clinical efficacy of emergency vitrectomy for the treatment of foreign body injury in the posterior segment of eye. Methods: The clinical data of 32 eyes of 32 patients diagnosed as posterior intraocular foreign body penetrating injury in our hospital from January 2005 to December 2010 were retrospectively analyzed. The patients underwent vitrectomy and foreign body removal. Results: Thirty patients were removed foreign objects at one time. Postoperative visual acuity improved in 12 cases, unchanged in 10 cases, decreased visual acuity in 10 cases. Postoperative secondary glaucoma in 4 cases, retinal detachment in 3 cases, 2 cases of atrophy. One case due to corneal opacity, one case due to intraocular hemorrhage aggravated termination of surgery, elective surgery successfully removed foreign body. Conclusion: The emergency treatment of vitrectomy and foreign body removal is an effective and timely treatment of intraocular foreign body.