国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
5期
954-955
,共2页
罗林翼%马瑞倩%陈敏瑜%钟广斌
囉林翼%馬瑞倩%陳敏瑜%鐘廣斌
라림익%마서천%진민유%종엄빈
玻璃体腔磁性异物取出%双目间接检眼镜%眼内稀土磁棒
玻璃體腔磁性異物取齣%雙目間接檢眼鏡%眼內稀土磁棒
파리체강자성이물취출%쌍목간접검안경%안내희토자봉
removal of magnetic vitreous foreign body%binocular indirect ophthalmoscope%intraocular earth magnet
目的：探讨外伤性白内障合并前段玻璃体腔磁性异物伤的简易手术方法及其疗效观察。<br> 方法：术前评估13例眼球异物穿通伤,对外伤性白内障后囊穿破合并前段玻璃体腔磁性异物的病例作改良手术方法,伤眼行白内障抽吸及清除脱出的玻璃体后,在双目间接检眼镜直视下经角巩缘切口用稀土磁棒将玻璃体腔磁性异物取出,观察术后眼内情况及视功能恢复情况。<br> 结果：患眼13例均于直视下成功取出异物,手术过程快捷顺利,未出现继发出血或感染等并发症,矫正视力均有较大程度的提高。随诊6 mo矫正视力>0.3者10例,0.1~0.3者3例。<br> 结论：在双目间接检眼镜直视下进行异物定位,使用眼内稀土磁棒准确磁吸取出异物,操作简单安全,是一个可靠的手术方式选择。
目的：探討外傷性白內障閤併前段玻璃體腔磁性異物傷的簡易手術方法及其療效觀察。<br> 方法：術前評估13例眼毬異物穿通傷,對外傷性白內障後囊穿破閤併前段玻璃體腔磁性異物的病例作改良手術方法,傷眼行白內障抽吸及清除脫齣的玻璃體後,在雙目間接檢眼鏡直視下經角鞏緣切口用稀土磁棒將玻璃體腔磁性異物取齣,觀察術後眼內情況及視功能恢複情況。<br> 結果：患眼13例均于直視下成功取齣異物,手術過程快捷順利,未齣現繼髮齣血或感染等併髮癥,矯正視力均有較大程度的提高。隨診6 mo矯正視力>0.3者10例,0.1~0.3者3例。<br> 結論：在雙目間接檢眼鏡直視下進行異物定位,使用眼內稀土磁棒準確磁吸取齣異物,操作簡單安全,是一箇可靠的手術方式選擇。
목적：탐토외상성백내장합병전단파리체강자성이물상적간역수술방법급기료효관찰。<br> 방법：술전평고13례안구이물천통상,대외상성백내장후낭천파합병전단파리체강자성이물적병례작개량수술방법,상안행백내장추흡급청제탈출적파리체후,재쌍목간접검안경직시하경각공연절구용희토자봉장파리체강자성이물취출,관찰술후안내정황급시공능회복정황。<br> 결과：환안13례균우직시하성공취출이물,수술과정쾌첩순리,미출현계발출혈혹감염등병발증,교정시력균유교대정도적제고。수진6 mo교정시력>0.3자10례,0.1~0.3자3례。<br> 결론：재쌍목간접검안경직시하진행이물정위,사용안내희토자봉준학자흡취출이물,조작간단안전,시일개가고적수술방식선택。
AIM:To investigate the curative effects on a modified simple removal surgery of magnetic foreign body in the anterior part of vitreous cavity combined with traumatic cataract. <br> METHODS: Data were collected on 13 patients with ocular penetrating and perforating injuries combined with traumatic cataracts and magnetic foreign bodies in the anterior part of the vitreous cavity who underwent a simple modified removal surgery. Under direct vision of binocular indirect ophthalmoscope, the intraocular earth magnet was applied to remove the magnetic foreign bodies after clearance of the turbid lens and prolapsed vitreous. Postsurgical intraocular reaction and recovery of the visual function were observed and evaluated. <br> RESULTS: Under the direct vision, by using this surgery method, all the magnetic foreign bodies were successfully removed smooth and fast. No complication such as secondary bleeding or infection occurred. Corrected visual acuity has been improved obviously in all these patients who underwent operation. The postoperative follow up of 6mo showed that the BCVA of 10 cases was >0. 3. BCVA of the other 3 cases was 0. 1-0. 3. <br> CONCLUSION: Under direct vision of binocular indirect ophthalmoscope, the magnetic foreign bodies in the anterior part of vitreous cavity can be removed accurately by using intraocular earth magnet. This modified method is simple and safe. And it is a reliable surgical option for these patients.
