球内异物临床特征的回顾性分析

Retrospective analysis of the clinical characteristics of intraocular foreign bodies

目的 总结球内异物伤的临床特点,为隐匿性球内异物的诊断提供参考.方法 回顾性病例研究.分析2007年12月至2013年12月在北京大学第三医院手术取出球内异物的病例141例（143眼）.结果 磁性金属异物46眼;非磁性金属异物62眼;植物异物5眼;稳定性异物（玻璃、陶瓷、塑料）19眼;土质异物（石块、煤渣、火药、铅笔芯）11眼.其中,眼球内异物无反应的占11.2％,前房出血7.0％,白内障60.1％,玻璃体出血33.6％,视网膜脱离30.1％,眼内炎11.9％,虹膜睫状体炎3.5％,青光眼5.6％,铁锈症5.6％5例隐匿性球内异物.结论 球内异物伤由于致伤物的多样性,可导致多种多样的眼部损害,掌握球内异物伤的临床特征尤其有利于提高隐匿性球内异物的诊断率,防止漏诊误诊。

Objective To identify the characteristics of intraocular foreign bodies （IOFB） to provide references for the diagnosis of occult IOFB.Methods One hundred forty-three eyes with IOFB from December 2007 to December 2013 were analyzed retrospectively.Results Of the patients,46 eyes were diagnosed with magnetic IOFB,62 eyes were diagnosed with non-magnetic IOFB,5 eyes were diagnosed with botanic IOFB,19 eyes were diagnosed with stable IOFB （glass,pottery,plastics）,and 11 eyes were diagnosed with earth-based IOFB （stone,coal,powder,pencil core）.The IOFBs induced non-reaction （11.2%）,hyphema （7.0%）,cataract （60.1%）,vitreous hemorrhage （33.6%）,retinal detachment （30.1%）,endophthalmitis （11.9%）,iridocyclitis （3.5%）,glaucoma （5.6%） and siderosis （5.6%）.Five of the eyes were diagnosed with occult IOFB.Conclusion Variations in IOFBs induce a variety of clinical manifestations in the eyes.It is very important to have knowledge of the clinical characteristics of IOFB to diagnose occult IOFB.