曲安奈德辅助玻璃体切除取出眼内异物的疗效观察

Pars plana vitrectomy assisted by triamcinolone acetonide for intraocular foreign bodies

目的观察和分析曲安奈德辅助玻璃体切除取出眼内异物的临床疗效。方法选择伴有视网膜损伤且行玻璃体手术的眼内异物伤患者23例(23只眼),玻璃体切除手术中辅助应用曲安奈德染色玻璃体。结合高负压人工玻璃体后脱离法,尽可能切除全玻璃体,同时处理损伤的视网膜,必要时眼内填充C3F8或硅油。结果所有患者异物均一次性取出,15例成功实施玻璃体后脱离,术后视网膜脱离3例。结论玻璃体切除治疗眼内异物伤,术中辅助应用曲安奈德染色,有利于充分切除玻璃体,降低术后视网膜脱离的发生率。

Objective To evaluate the therapeutic effect of pars plana vitreetomy （PPV） assisted by triamcinolone acetonide （TA） on intraocular foreign bodies. Methods Twenty-three patients （23 eyes） suffering from intraoeular foreign body-associated retinal damage underwent PPV assisted by TA. TA was inoculated into the vitreous cavity to visualise the vitreous. Posterior hyaloid detachment was made and vitreous were removed as much as possible. C3F8 or silicone oil was used when needed. Results All foreign bodies were taken out. Artificial posterior hyaloid detachment was made successfully in 15 eyes. Retinal detachment was found in 3 eyes. Conclusions TA improved the visibility of the hyaloid and the safety of the surgical procedures. No serious complications were observed after PPV assisted by TA for intraocular foreign bodies. The incidence of secondary retinal detachment was reduced due to the application of TA. （ Chin J Ophthalmol and Otorhinolaryngol,2011,11：42-43,46）