玻璃体切除治疗在眼后段异物摘出术中的作用

The effect of vitrectomy on treatment of 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作用。方法总结分析2004年5月至2007年6月48例(48眼)运用常规平坦部三切口,闭合式玻璃体切除联合眼内异物摘出、视网膜复位、眼内光凝、眼内注入C3F8、眼内硅油充填及晶状体超声乳化等多联手术的临床资料。结果48例均一次成功摘出异物,有视网膜脱离者均在术中复位。38例视力有不同程度的提高。结论后段眼内异物选择玻璃体切除手术有直观、准确、安全、减少并发症发生等优点。

Objective To assess effect of vitrectomy on posterior segment intraocular foreign bodies （IOFBs） extraction. Methods Retrospectively Summary and analyze 48 patients （48 eyes） from May 2004 to June 2007. All the patients had undergone routine three point pars plana incision vitrectomy combined with intraocular foreign bodies extraction, retinal reattachment, endopbotocoagulation, C3 Fs intraocular injection and silicone oil tamponade, et al. Results IOFBs in all the 48 cases had been extracted successfully. Retinal detachment had complete reattaehed, visual acuity improved in 38 cases. Conclusion Vitrectomy for posterior segment imtraocular foreign bodies has advantages of intuition, accurate, safety, reduced complication.