摘要
目的 探讨玻璃体手术治疗眼球内异物及其并发症的临床效果。方法 对我院 1999年 1月～ 2 0 0 1年 12月收治的各种眼球内异物 6 2例 6 4眼进行回顾性分析 ,男 5 8例 ,女 4例 ,年龄 8～ 4 6岁 ,平均 2 3岁。除 1例 1眼采用扁平部巩膜切口 ,磁铁吸出异物外 ,其余 6 1例 6 3眼均采用玻璃体切割术。术后视力≥ 0 .0 2作为功能成功的标准 ;术后视力<0 .0 2 ,眼球结构完整 ,作为解剖成功的标准 ,视力≥ 0 .0 5作为脱盲成功的标准。结果 所有眼球内异物均一次手术成功取出。共有 10眼发生眼内炎 ( 15 .6 3% ) ,随访 3～ 36月 (平均 12 .5月 ) ,最终视力 <0 .0 2者 14眼 ,≥ 0 .0 2者 5 0眼 ,≥ 0 .0 5者 36眼 ,≥ 0 .10者 2 5眼 ,≥ 0 .30者 6眼 ,≥ 0 .5 0者 10眼。功能成功率 (VA≥ 0 .0 2 )为 78.79% ,解剖成功率 (VA <0 .0 2 ,眼球结构完整 )为 93.75 % ,总脱盲率 (VA≥ 0 .0 5 )为5 6 .2 5 % .结论 眼内异物的治疗最好采用玻璃体切割术 。
Objective To evaluate the outcomes of vitrectomy for intraocular foreign bodies(IOFB) and its complications.Methods From January 1999 to December 2001,62 consecutive patients(64 eyes),58 men and 4 women,with the diagnosis of IOFB following penetrating ocular injuries were retrospectively evaluated.The patients' ages ranged from 8 to 46 years old(mean 23 years old).Sixty one patients (63 eyes) underwent pars plana vitrectomy, 1 patient underwent external magnet extraction. Postoperative follow up ranged from 3 to 36 months (mean 12.5 months).Functional success was defined as VA≥ 0.02 ,anatomical success was defined as VA<0.02 with anatomical integrity,the success of out of blindness was defined as VA≥0.05.Results All IOFBs were successfully extracted with one operation.Endophthalmitis was diagnosed preoperatively in 7 patients and postoperatively in 3 patients.Final visual outcomes were <0.02 in 14 eyes, ≥0.02 in 50 eyes, ≥0.05 in 36 eyes, ≥0.10 in 25 eyes, ≥0.30 in 16 eyes, ≥0.50 in 10 eyes. The functional success(VA≥0.02) rate in all patients was 78.79% ;The anatomical success (anatomical integrity) in all patients was 93.75%;The success rate of out of blindness (VA≥0.05) in all patients was 56.25% .Conclusion Vitrectomy is the best method for the treatment of IOFB and its complications,and it should be performed as soon as possible.
出处
《眼科新进展》
CAS
2004年第1期39-41,共3页
Recent Advances in Ophthalmology
