CAJ | 학술논문

目的：探讨玻璃体手术治疗金属球内异物的临床效果以及影响视力预后的因素。 　　方法：选取我院2010-01/2013-06收治的进行玻璃体切割联合球内异物取出术的球内异物患者47例48眼进行回顾性病例分析,包括视力的变化以及异物大小、术前并发症及就诊时间与视力的关系。 　　结果：所有患者中有46眼成功完整取出异物,2眼为眶内异物未予取出。术后6 mo随访最佳矫正视力均有不同程度的提高(P<0.05),球内异物大小、合并视网膜脱离是影响视力的危险因素(P<0.05)。 　　结论：玻璃体切割手术对治疗金属球内异物伤有明显的优越性,及时恰当的玻璃体手术对视功能的恢复尤为重要。
목적：탐토파리체수술치료금속구내이물적림상효과이급영향시력예후적인소。 　　방법：선취아원2010-01/2013-06수치적진행파리체절할연합구내이물취출술적구내이물환자47례48안진행회고성병례분석,포괄시력적변화이급이물대소、술전병발증급취진시간여시력적관계。 　　결과：소유환자중유46안성공완정취출이물,2안위광내이물미여취출。술후6 mo수방최가교정시력균유불동정도적제고(P<0.05),구내이물대소、합병시망막탈리시영향시력적위험인소(P<0.05)。 　　결론：파리체절할수술대치료금속구내이물상유명현적우월성,급시흡당적파리체수술대시공능적회복우위중요。
AIM:To investigate the effect of vitrectomy in treatment of metal intraocular foreign bodies and the factors affecting visual prognosis. METHODS:Fourty seven cases ( 48 eyes ) with foreign bodies from January 2010 to June 2013 in our hospital underwent vitrectomy combined with intraocular foreign body removal were retrospectively analyzed. The changes of visual acuity, the size of foreign body, the complications of preoperative, and the relationship between treatment time and visual acuity were recorded.RESULTS: Totally 46 eyes were successfully removed the complete foreign body, 2 eyes of orbital foreign bodies had not been removed. After 6mo of followed-up, the best corrected visual acuity were all improved in varying degrees (P<0. 05), intraocular foreign body size combined with retinal detachment was the risk factor for visual impact (P<0. 05). CONCLUSION:Vitrectomy has obvious advantages in the treatment of metal intraocular foreign bodies. Timely and appropriate vitrectomy is very important to the recovery of visual function.