玻璃体切除术在眼后段异物摘出术中的应用

Vitrectomy for removing posterior segment intraocular foreign bodies.

目的评价玻璃体切除术在眼后段眼内异物摘出术中的效果。方法回顾分析2002年5月～2004年8月32例（32眼）运用玻璃体切除术联合眼球内后段异物摘出术的临床资料。结果32例均一次手术成功，伴有白内障者均经平坦部入路切除浑浊的晶状体，未一期植入人工晶状体，伴有视网膜脱离者均术中复位，伴有眼内炎者均治愈。12例术后视力提高，10例术后视力无变化，10例术后视力下降。结论玻璃体切除术可以有效、准确地摘出眼内异物，减少并发症发生。

Objective To evaluate the effect of vitrectomy for removing posterior segment intraocular foreign bodies.Methods A retrespeetive research was done on 32 eases underwent vitrectomy for removing posterior segment intraoeular foreign bodies from May, 2002 to August,2004, Results All the foreign bodies were removed successfully. Cases with cataract were excised from posterior segment. Cases with retinal detachment were reattached. Cases with endophthalmitis were cured. 12 cases had improved postoperative visual acuity, visual acuity remained unehange in 10 cases and declined in 10 cases. Conclusion Vitrectomy could remove posterior segment intraoeular foreign bodies effectively and manage complications caused by intraoeular foreign bodies.