玻璃体漂浮异物取出53例临床分析

Study of 53 Surgical Removals of Intravitreous Floating Foreign Bodies

目的 探讨玻璃体漂浮异物的取出方法。方法 5 3例玻璃体漂浮异物采用三种不同的手术方法 :直视下直接夹取或吸取法 ;显微镜下直观磁棒接力取出法 ;玻璃体切割联合异物取出法。结果 手术均顺利完成 ,未发生术中并发症 ,术后视力上升 2 9例占 5 6 .6 % ,不变 14例占 2 6 .6 % ;下降 10例占 19%。结论 玻璃体漂浮异物应根据异物磁性、大小。

Objective To probe into different surgical removable methods of intravitreous floating foreign bodies.Methods Three different methods in 53 surgical removals of intravitreous floating foreign bodies:1)direct picking up or aspirating;2)microcopic magnetic induction rod method;3)removal with Vitrectorny.Results All operations were successful and no complications occurred.Postoperative visual acuity was improved in 29 cases(56.6%),not changed in 14cases(26.6%),decreased in 10 cases(19%).Conclusions Different surgical removable methods of intravitreous floating foreign bodies have been used,based on the study of the magnetism,the sige of foreign bodies,and the transparency of interfractive substance.