玻璃体切割术治疗眼球壁异物的临床观察

Clinical observation of vitrectomy for removing foreign bodies in eyeball wall

目的评价玻璃体切割术治疗眼球壁异物的效果。方法对我院2007年1月至2010年6月21例(21眼)眼球内壁异物行玻璃体切割联合异物取出的临床资料进行回顾分析。结果 21例(21眼)均一次手术成功取出异物,伴有角膜裂伤、白内障、视网膜脱离及眼内炎者,均得到治愈。术后视力较术前增加者6眼(占28.6%),不变者8眼(占38.1%)。术后1眼出现脉络膜脱离,1例出现视网膜脱离。结论玻璃体切割联合球壁异物取出,异物取出成功率高,同时治疗并发症,是治疗眼球内壁异物的较好选择。

Objective To evaluate the effects of vitrectomy asssociated with extraction of foreign bodies in eyeball wall. Methods Retrospective analysis was done on clinical records of 21 patients（21 eyes） having undergone vitrectomy complicated with extraction of foreign bodies in eyeball inner wall. Results The foreign bodies were extracted successfully in all cases. Some complications such as corneal laceration,cataract,retinal detachment and endophthalmitis were cured.Postoperation visual acuity was improved in 6 eyes（28.6%） and did not change in 8 eyes（38.1%）. Postoperative complications included choroidal detachment in 1 eye and retinal detachment in 1 eye. Conclusion Vitrectomy combined with extraction of intraocular foreign bodies has high achievement ratio and can cure some complications.It is the better selection for treating foreign bodies in eyeball inner wall.