CAJ | 학술논문

目的探讨眼内异物的治疗方法及其并发症的处理。方法收集眼内异物患者80例（84只眼）的临床资料，对其治疗方法和并发症的处理进行分析和总结。结果眼内异物伤多见于男性青壮年，以崩入眼内的异物伤(76.3％)最为常见，其次为爆炸伤(15.0％)。位于眼球后段的异物可导致较严重的视力下降。常见并发症包括外伤性白内障、视网膜脱离、增生性玻璃体视网膜病变、铁锈症等。经过适当的手术治疗后，视力较术前明显提高（Ridit分析，P＜0.05）。结论眼内异物伤严重危害视功能。尽快手术取出异物，大部分病人可获得较好的视功能。但视力预后仍取决于外伤和术后的并发症。陈旧性眼内异物常可导致不可逆性视力丧失。
목적 탐토안내이물적치료방법급기병발증적처리。방법 수집안내이물환자80례（84지안）적림상자료，대기치료방법화병발증적처리진행분석화총결。결과 안내이물상다견우남성청장년，이붕입안내적이물상(76.3％)최위상견，기차위폭작상(15.0％)。위우안구후단적이물가도치교엄중적시력하강。상견병발증포괄외상성백내장、시망막탈리、증생성파리체시망막병변、철수증등。경과괄당적수술치료후，시력교술전명현제고（Ridit분석，P＜0.05）。결론 안내이물상엄중위해시공능。진쾌수술취출이물，대부분병인가획득교호적시공능。단시력예후잉취결우외상화술후적병발증。진구성안내이물상가도치불가역성시력상실。
Objective To study the treatment and complications of intraocular foreign bodies (IOFBs). Methods The records of 80 patients (84 eyes) were reviewed. Their treatment and complications were analyzed and summarized. Results IOFB injuries were more common in young male. The most popular causes of wound were spurt (76.3％) and explosion (15.0％). IOFBs at the posterior segment often resulted in permanent and serious visual loss. Common complications included traumatic cataract, retinal detachment, proliferative vitreoretinopathy, ophthalmic siderosis and so on. After appropriate surgery treatment, most patients could obtain better vision than preoperative (Ridit analysis, P＜0.05). Conclusions IOFB injuries usually result in serious visual morbidity. IOFBs should be removed as soon as possible. After surgery, most patients can recover a better visual function. But the visual outcomes still depend on the traumatic conditions and postoperative complications. Old IOFBs often lead to irreversible visual disability.