中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
6期
29-30
,共2页
蒋自培%胡赛静%温积权%徐建国
蔣自培%鬍賽靜%溫積權%徐建國
장자배%호새정%온적권%서건국
视网膜脱离%玻璃体切除术%眼球后段异物
視網膜脫離%玻璃體切除術%眼毬後段異物
시망막탈리%파리체절제술%안구후단이물
Retinal detachment%Vitrectomy%Posterior segment intraocular foreign body
目的 对成功取出眼球后段异物的患者进行长期随访观察.方法 回顾性分析23例患者(23眼)经玻璃体切除术成功取出眼球后段异物后的临床随访资料.结果 所有病例随访3~36个月,4例患者(4眼)发生了孔源性视网膜脱离,对其进行处理后,视力结果良好.结论 成功取出眼球后段异物后的主要并发症是孔源性视网膜脱离,可以发生在初次术后的数月以内,对孔源性视网膜脱离可根据脱离的范围、位置和引起裂孔的原因应用不同的方法进行处理,因此对成功取出眼球后段异物的患者进行长期随访观察具有重要的临床意义.
目的 對成功取齣眼毬後段異物的患者進行長期隨訪觀察.方法 迴顧性分析23例患者(23眼)經玻璃體切除術成功取齣眼毬後段異物後的臨床隨訪資料.結果 所有病例隨訪3~36箇月,4例患者(4眼)髮生瞭孔源性視網膜脫離,對其進行處理後,視力結果良好.結論 成功取齣眼毬後段異物後的主要併髮癥是孔源性視網膜脫離,可以髮生在初次術後的數月以內,對孔源性視網膜脫離可根據脫離的範圍、位置和引起裂孔的原因應用不同的方法進行處理,因此對成功取齣眼毬後段異物的患者進行長期隨訪觀察具有重要的臨床意義.
목적 대성공취출안구후단이물적환자진행장기수방관찰.방법 회고성분석23례환자(23안)경파리체절제술성공취출안구후단이물후적림상수방자료.결과 소유병례수방3~36개월,4례환자(4안)발생료공원성시망막탈리,대기진행처리후,시력결과량호.결론 성공취출안구후단이물후적주요병발증시공원성시망막탈리,가이발생재초차술후적수월이내,대공원성시망막탈리가근거탈리적범위、위치화인기렬공적원인응용불동적방법진행처리,인차대성공취출안구후단이물적환자진행장기수방관찰구유중요적림상의의.
Objective To follow-up the patients with successful posterior segment intraocular foreign body removal.Methods Medical records of consecutive cases with posterior segment intraocular foreign body that were successfully removed between June 2005 and June 2008 were retrospectively reviewed.Twenty-three patients(23 eyes)were included in the series.Results Followed up 3-36 months All the patients underwent pars plana vitrectomy for posterior segment intraocular foreign body removsl,4 patients (4 eyes)experienced rhegmatogenous retinal detachments that were managed with good long-term visual outcomes.Conclusions Rhegmatogenous retinal detachments may occur following successful removal of posterior segment intraocular foreign body in several months after initial management.These rhegmatogenous retinal detachments can be successfully managed with a variety of methods,depending upon the extent and location of the detachments and causative break.Therefore,it is clinically important to perform a long-term follow-up in patients after successful posterior segment intraocular foreign body removal.