CAJ | 학술논문

目的：回顾性分析不同性质、部位的眼内异物的不同手术方法及预后。 　　方法：对我院2010-06/2013-04住院治疗的眼内异物患者46例46眼的临床资料进行回顾性分析。 　　结果：前段异物直接切开取出或磁吸取出；后段定位准确的磁性浅表异物行眼内异物磁吸术，非磁性及视网膜异物行玻璃体切除术，手术成功并完整取出异物。保留眼球形态46例(100%)，达到功能治愈者33例(72%)，解剖治愈12例(26%)，未愈1例(2%)。 　　结论：手术旨在重建眼球结构，保留其完整性，尽可能保存及恢复视功能。根据异物性质及眼球损伤情况选择合适的手术方式及时机将很大程度的影响预后，减少并发症发生，有效保全眼球及保留或提高视功能。
목적：회고성분석불동성질、부위적안내이물적불동수술방법급예후。 　　방법：대아원2010-06/2013-04주원치료적안내이물환자46례46안적림상자료진행회고성분석。 　　결과：전단이물직접절개취출혹자흡취출；후단정위준학적자성천표이물행안내이물자흡술，비자성급시망막이물행파리체절제술，수술성공병완정취출이물。보류안구형태46례(100%)，체도공능치유자33례(72%)，해부치유12례(26%)，미유1례(2%)。 　　결론：수술지재중건안구결구，보류기완정성，진가능보존급회복시공능。근거이물성질급안구손상정황선택합괄적수술방식급시궤장흔대정도적영향예후，감소병발증발생，유효보전안구급보류혹제고시공능。
AIM: To retrospectively analyze the effect of different surgical treatment on intraocular foreign bodies, according to different types and position. METHODS: Clinical data of 46 cases diagnosed with intraocular foreign bodies from June 2010 to April 2013 were retrospectively analyzed. RESULTS:Intraocular foreign bodies in anterior segment could be removed or magnetically attracted directly, intraocular foreign bodies in posterior segment could be attracted if there was accurate location. Vitrectomis was more favorable for the non magnetic or intraocular foreign bodies in posterior segment. In 46 cases, all intraocular foreign bodies ( 100%) in posterior segment were removed successfully. Among them the functional cure in 33 cases ( 72%) , the anatomical cure in 12 cases ( 26%) , discharged in 1 case (2%). CONCLUSION:The aim of operation is to reconstruct of eyeball structure preserve and restore visual function. We should find more appropriate mode of operation and timing of surgery according to the foreign bodies'different types and injury of eyeball, reduce complications, preservation eyeball and improve visual function.