玻璃体切割联合小直径球内异物取出术临床疗效

Clinical curative effect of vitrectomy combined removal of intraocular foreign body of small diameter

目的:探讨玻璃体切割联合球内异物取出术治疗眼球内异物伤(异物直径≤3mm)的临床疗效。方法:选择2006-01/2010-01来我院治疗的眼内异物伤患者25例25眼,采用玻璃体切割联合球内异物取出术,13例13眼术中部分或全部保留晶状体前囊膜。随访6mo,18例18眼二期植入人工晶状体或缝合固定,随访处理并发症。分析手术适应证,手术并发症,术后疗效。结果:患者25例25眼均一期成功取出球内异物。睫状体脱离1例药物治疗痊愈。视网膜脱离患者行玻璃体切割注硅油术后视网膜复位。随访6mo时视力提高者23眼,无变化2眼。结论:玻璃体切割联合球内异物取出术治疗眼球内异物伤(异物直径≤3mm)是有效的临床治疗方法。

AIM：To observe the clinical curative effect of vitrectomy combined removal of intraocular foreign body（the diameter of foreign body ≤3mm）.METHODS：From January 2006 to January 2010,25 patients（25 eyes） with ocular injury in our hospital underwent vitrectomy combined removal of intraocular foreign body.Thirteen patients（13 eyes） preserved part or all anterior lens capsule.In the follow-up of 6 months,implanting or suturing artifical lens was carried out in 18 cases（18 eyes）.The surgical indications,related complications and clinical curative effect were summarized.RESULTS：Intraocular foreign bodys were dislodged successfully in 25 cases（25 eyes）.One case with ablatio corporis ciliaris recovered by drug treatment.Vitrectomy and silicone oil filling were performed in the cases with retinal detachment.In the follow-up of 6 months,the corrected visual acuity increased in 23 cases and remained unchanged in 2 cases.CONCLUSION：Vitrectomy combined removal of intraocular foreign body is an effective method in definited ocular trauma patients（the diameter of foreign body ≤3mm）.