CAJ | 학술논문

目的探讨影响眼内异物伤视力预后的相关因素.方法对59例(59眼)眼内异物病例进行回顾性分析.结果 49例磁性异物中32例从巩膜外路切口摘出,其余17例及10例非磁性异物经玻璃体切出.术后随访3～30个月平均(12.0±4.7)月,最好矫正视力:光感～0.02者6例,0.02～0.05者13例,0.05～0.3者18例,＞0.3者22例,术后视力较术前有明显改善(P＜0.05).术后的主要并发症是增生性视网膜病变(PVR)、视网膜脱离、黄斑前膜及继发性青光眼.结论眼球伤口部位、异物的位置、眼内炎、PVR、视网膜脱离、黄斑前膜等是影响眼内异物伤视力预后的主要因素.
목적 탐토영향안내이물상시력예후적상관인소.방법 대59례(59안)안내이물병례진행회고성분석.결과 49례자성이물중32례종공막외로절구적출,기여17례급10례비자성이물경파리체절출.술후수방3～30개월평균(12.0±4.7)월,최호교정시력:광감～0.02자6례,0.02～0.05자13례,0.05～0.3자18례,＞0.3자22례,술후시력교술전유명현개선(P＜0.05).술후적주요병발증시증생성시망막병변(PVR)、시망막탈리、황반전막급계발성청광안.결론 안구상구부위、이물적위치、안내염、PVR、시망막탈리、황반전막등시영향안내이물상시력예후적주요인소.
Objective To study the factors affecting visual prognosis of intraocular foreign bodies injuries. Methods Clinical data of 59 cases (59 eyes) with foreign bodies were analyzed retrospectively.Visual acuity and complications were observed. Results 32 cases (32 eyes) underwent electro manet extraction, and 27 cases (27 eyes) underwent vitrectomy extraction. The follow up time was 3 to 30 months (mean 12 ±4.7), the final corrected visual acuity was LP -0.02 in 6 eyes, 0.02 -0.05 in 13 eyes, 0.05-0.3 in 18 eyes, ≥0. 3 in 22 eyes. The post-operative complication included proliferative vitreoretinopathy (PVR), retinal detachment, macular epiretinal membrane and glaucoma. Conclusions Cornea wound,position of foreign bodies within ocular, retinal damage region, endophthalmitis and post-operative complications are important factors affecting the visual prognosis of intraocular foreign body injuries.