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平坦部玻璃体切割术在眼内异物摘出中的应用 被引量:2

Pars plana vitrectomy for extraction of intraocular foreign bodies
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摘要 目的 :回顾性分析平坦部玻璃体切割术治疗眼内异物的临床效果。方法 :对 3 2例 ( 3 2只眼 )眼外伤伴有眼内异物患者施行玻璃体切割术、晶体切割术、眼内异物摘出术、视网膜脱离复位及巩膜环扎等联合手术。结果 :眼内异物均一次性摘出。随访 1~ 1 8个月 ,术后视力提高者 2 4只眼 ( 75%、裸眼或矫正视力≥ 0 1者 1 7只眼 ,0 0 2~ 0 0 8者 7只眼 ) ,不变者 3只眼 ,下降者 5只眼 (眼球萎缩 )。结论 :应用平坦部玻璃体切割术摘出眼内异物损伤小、准确且安全 ,有利于及时处理并发症和提高术后视力 。 Objective:To evaluate the clinical effect of par plan vitrectomy(PPV) for intraocular foreign bodies(IOFBs) retrospectively.Methods:32 cases (32 eyes) of IOFBs were performed PPV,Lensectomy,removal of IOFBs,retinal reattachment and circular buckling surgery.Results:The IOFBs were extracted successfully in all cases.The follow up duration was 1 18 months.Post operative visual acuity was improved in 24 eyes(75%,the visual acuities with correction or without correction were 0 1 or better in 17 eyes,0 02~0 08 in 7eyes);not changed in 3 eyes and decreased in 5 eyes(eyeball atrophy).Conclusion:PPV in combination with IOFBs extraction is less damaging,accurate and safe.It is favorable for the management of complications and the increase of postoperative vision.It is worth popularizing.
出处 《眼科》 CAS 2000年第1期14-16,共3页 Ophthalmology in China
关键词 玻璃体切除术 眼异物 眼损伤 vitrectomy eye foreign bodies eye injuries/surg
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二级参考文献3

  • 1王文伟,眼外伤职业眼病杂志,1995年,17卷,17页
  • 2何守志,眼科显微手术,1994年,353页
  • 3张效房,中华眼科杂志,1978年,14卷,11页

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