中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
3期
161-164
,共4页
薛黎萍%肖丽波%吴敏%任玉玲%彭亚力%李云琴%胡竹林
薛黎萍%肖麗波%吳敏%任玉玲%彭亞力%李雲琴%鬍竹林
설려평%초려파%오민%임옥령%팽아력%리운금%호죽림
贯通伤,眼球%异物,金属%临床特点%治疗策略
貫通傷,眼毬%異物,金屬%臨床特點%治療策略
관통상,안구%이물,금속%림상특점%치료책략
Perforating injury,eyeball%Foreign body,metallic%Clinical feature%Operative management
目的 探讨金属异物致眼球贯通伤的临床特点、治疗措施、手术时机、手术技巧及其疗效.方法 对15例(16眼)金属异物致眼球贯通伤的临床资料进行回顾性分析.结果 随诊2周～2年.2眼未手术,视力0.8未见下降.14眼手术术后视力不同程度改善.12眼首次玻璃体视网膜手术视网膜复位,2眼二次玻璃体视网膜手术视网膜复位.眼球壁异物摘出2眼,眶内异物摘出3眼,异物存留者11眼,随诊期内未发现并发症.结论 金属异物致眼球贯通伤,创口自闭伴轻度的玻璃体积血可予观察,伴严重的玻璃体积血者,宜伤后7～14 d行玻璃体视网膜手术,伴有视网膜脱离或出现感染征象者宜尽早手术.后巩膜创口可用明胶海绵填塞.根据玻璃体状态、视网膜情况选择惰性气体或硅油填充.
目的 探討金屬異物緻眼毬貫通傷的臨床特點、治療措施、手術時機、手術技巧及其療效.方法 對15例(16眼)金屬異物緻眼毬貫通傷的臨床資料進行迴顧性分析.結果 隨診2週～2年.2眼未手術,視力0.8未見下降.14眼手術術後視力不同程度改善.12眼首次玻璃體視網膜手術視網膜複位,2眼二次玻璃體視網膜手術視網膜複位.眼毬壁異物摘齣2眼,眶內異物摘齣3眼,異物存留者11眼,隨診期內未髮現併髮癥.結論 金屬異物緻眼毬貫通傷,創口自閉伴輕度的玻璃體積血可予觀察,伴嚴重的玻璃體積血者,宜傷後7～14 d行玻璃體視網膜手術,伴有視網膜脫離或齣現感染徵象者宜儘早手術.後鞏膜創口可用明膠海綿填塞.根據玻璃體狀態、視網膜情況選擇惰性氣體或硅油填充.
목적 탐토금속이물치안구관통상적림상특점、치료조시、수술시궤、수술기교급기료효.방법 대15례(16안)금속이물치안구관통상적림상자료진행회고성분석.결과 수진2주～2년.2안미수술,시력0.8미견하강.14안수술술후시력불동정도개선.12안수차파리체시망막수술시망막복위,2안이차파리체시망막수술시망막복위.안구벽이물적출2안,광내이물적출3안,이물존류자11안,수진기내미발현병발증.결론 금속이물치안구관통상,창구자폐반경도적파리체적혈가여관찰,반엄중적파리체적혈자,의상후7～14 d행파리체시망막수술,반유시망막탈리혹출현감염정상자의진조수술.후공막창구가용명효해면전새.근거파리체상태、시망막정황선택타성기체혹규유전충.
Objective To investigate the clinical features of perforating injury of eyeball by metallic foreign body,together with the discussion of the primary treatment,the vitreoretinal surgery time,the surgical technique and the therapeutic evaluation.Method Medical records of 15 cases ( 16 eyes) of ocular perforating injury by metallic foreign body were retrospectively analyzed.Results The follow-up was from 2 week to 2 years.Two cases that had not undergone surgery were resulted in a corrected visual acuity of 0.8.Fourteen patients gained visual acuity increase after operation.The retina reattached in 12 eyes after the first pars plana vitrectomy (PPV),and in 2 eyes after the secondary PPV.Two foreign bodies on eyeball wall and 3 foreign bodies in orbit were extracted.There was no complication observed in 11 cases with foreign bodies persist in orbit.Conclusion For perforating injury with mild vitreous hemorrhage,medicine treatment was used if the wound can be self-closed.For perforating injury with serious vitreous hemorrhage,it is proper to perform vitreoretinal surgery between 7 - 14 days later.For perforating injury with retinal detachment or with infection sign,it is proper to carry out vitreoretinal surgery as early as possible.It is a welladvised choice to pack the postern scleral wound by gelatin sponge.Inert gas or silicone oil tamponade were used according to the condition of vitreous body and retina.
