中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2014年
5期
360-363
,共4页
田艳明%王军玲%杨胜%乔磊%李鹏%高晓唯%鞠燕%闫希冬%任兵%杨玉洁
田豔明%王軍玲%楊勝%喬磊%李鵬%高曉唯%鞠燕%閆希鼕%任兵%楊玉潔
전염명%왕군령%양성%교뢰%리붕%고효유%국연%염희동%임병%양옥길
眼异物%眼眶%视神经损伤%眼外科手术
眼異物%眼眶%視神經損傷%眼外科手術
안이물%안광%시신경손상%안외과수술
Eye foreign bodies%Orbit%Optic nerve injuries%Ophthalmologic surgical procedures
目的：总结眶深部接触视神经的小异物取出病例的治疗方法及疗效。方法回顾性系列病例研究。收集2010年8月至2012年10月解放军第四七四医院眼科收治的位于眶深部接触视神经小异物5例患者的临床资料，分析其诊治方法和手术疗效。结果5例患者中男性4例，女性1例，年龄31～48岁，术前无光感3例，光感1例，眼前手动1例，合并玻璃体积血1例（外院已经充填硅油），合并外伤性白内障视网膜及脉络膜脱离1例，合并玻璃体积血及视网膜脱离2例。所有患者影像资料均显示眶深部异物接触视神经，临床表现也提示视神经受到损伤。均采用外侧开眶手术一次取出异物，术后患者视力改善3例，无改变2例。结论经过术前影像学定位，外侧开眶术可取出眶深部接触视神经的小异物，对视力可能起到改善作用。
目的：總結眶深部接觸視神經的小異物取齣病例的治療方法及療效。方法迴顧性繫列病例研究。收集2010年8月至2012年10月解放軍第四七四醫院眼科收治的位于眶深部接觸視神經小異物5例患者的臨床資料，分析其診治方法和手術療效。結果5例患者中男性4例，女性1例，年齡31～48歲，術前無光感3例，光感1例，眼前手動1例，閤併玻璃體積血1例（外院已經充填硅油），閤併外傷性白內障視網膜及脈絡膜脫離1例，閤併玻璃體積血及視網膜脫離2例。所有患者影像資料均顯示眶深部異物接觸視神經，臨床錶現也提示視神經受到損傷。均採用外側開眶手術一次取齣異物，術後患者視力改善3例，無改變2例。結論經過術前影像學定位，外側開眶術可取齣眶深部接觸視神經的小異物，對視力可能起到改善作用。
목적：총결광심부접촉시신경적소이물취출병례적치료방법급료효。방법회고성계렬병례연구。수집2010년8월지2012년10월해방군제사칠사의원안과수치적위우광심부접촉시신경소이물5례환자적림상자료，분석기진치방법화수술료효。결과5례환자중남성4례，녀성1례，년령31～48세，술전무광감3례，광감1례，안전수동1례，합병파리체적혈1례（외원이경충전규유），합병외상성백내장시망막급맥락막탈리1례，합병파리체적혈급시망막탈리2례。소유환자영상자료균현시광심부이물접촉시신경，림상표현야제시시신경수도손상。균채용외측개광수술일차취출이물，술후환자시력개선3례，무개변2례。결론경과술전영상학정위，외측개광술가취출광심부접촉시신경적소이물，대시력가능기도개선작용。
Objective To evaluate the treatment and therapeutic efficacy of extraction of deep intra -orbital little foreign bodies touching the optic nerve.Methods In this retrospective study , the clinical data of 5 deep intra-orbital little foreign bodies cases were recorded from 2008 to 2012 in Eye Center, PLA 474th Hospital.The treatment and therapeutic effect were analyzed.Result The properties of the foreigen bodies in these 5 cases weremetallic in 4 cases and nonmetallic in 1 cases.The preoperative visual acurity were no light perception in 3 cases, light perception in 1 case, and hand movement in 1 case.The complications included vitreous hemorrhage which had been temponaded with silicon oil in other hospital ( 1 case ) , traumatic cataract, retinal and choroid detachment (1 case), traumatic retinal detachment and vitreous hemorrhage (2 cases).In all the cases, computed tomography (CT) indicated deep orbital foreign bodies touching the optic nerve, and clinical manifestations showed optic nerve injuries.The Foreign bodies were extracted successfully in all the cases.The postoperative visual acuity improved in 3 cases, however 2 cases remained blind.Conclusions Carefully positioned with CT preoperatively , Deep intra-orbital little foreign bodies touching the optic nerve could be exctracted by lateral orbitotomy and the vision could improve in some patients.
