眼球后段异物取出后的长期随访

A long-term follow-up after successful posterior segment intraocular foreign body removal

目的对成功取出眼球后段异物的患者进行长期随访观察。方法回顾性分析23例患者（23眼）经玻璃体切除术成功取出眼球后段异物后的临床随访资料。结果所有病例随访3～36个月，4例患者（4眼）发生了孔源性视网膜脱离，对其进行处理后，视力结果良好。结论成功取出眼球后段异物后的主要并发症是孔源性视网膜脱离，可以发生在初次术后的数月以内，对孔源性视网膜脱离可根据脱离的范围、位置和引起裂孔的原因应用不同的方法进行处理，因此对成功取出眼球后段异物的患者进行长期随访观察具有重要的临床意义。

Objective To follow-up the patients with successful posterior segment intraocular foreign body removal. Methods Medical records of consecutive cases with posterior segment intraocular foreign body that were successfully removed between June 2005 and June 2008 were retrospectively reviewed. Twenty-three patients （23 eyes） were included in the series. Results Followed up 3-36 months All the patients underwent pars plana vitrectomy for posterior segment intraocular foreign body removal, 4 patients （4 eyes） experienced rhegmatogenous retinal detachments that were managed with good long-term visual outcomes. Conclusions Rhegmatogenous retinal detachments may occur following successful removal of posterior segment intraocular foreign body in several months after initial management. These rhegmatogenous retinal detachments can be successfully managed with a variety of methods, depending upon the extent and location of the detachments and causative break. Therefore, it is clinically important to perform a long-term follow-up in patients after successful posterior segment intraocular foreign body removal.