CAJ | 학술논문

目的探讨玻璃体切除术治疗复杂眼内异物的临床疗效.方法回顾分析我院眼外伤科118例(118眼)复杂眼内异物的临床资料,对手术效果进行分析.结果一次性摘出异物116眼(98.3％).视力提高98眼(83.0％),视力无改变12眼(10.2％),视力下降8眼(6.8％)；术中92眼行视网膜激光光凝(80％)；68眼行硅油填充(57.6％)；8眼行一期人工晶状体植入(6.8％)；术后并发视网膜脱离9跟(7.6％)；继发性眼压升高26跟(22.0％)；眼球萎缩2眼(1.7％).结论玻璃体切除治疗复杂眼内异物有其独特的优势,手术时机的选择、手术过程的设计和术后并发症的处理对手术效果有重要意义.
목적 탐토파리체절제술치료복잡안내이물적림상료효.방법 회고분석아원안외상과118례(118안)복잡안내이물적림상자료,대수술효과진행분석.결과 일차성적출이물116안(98.3％).시력제고98안(83.0％),시력무개변12안(10.2％),시력하강8안(6.8％)；술중92안행시망막격광광응(80％)；68안행규유전충(57.6％)；8안행일기인공정상체식입(6.8％)；술후병발시망막탈리9근(7.6％)；계발성안압승고26근(22.0％)；안구위축2안(1.7％).결론 파리체절제치료복잡안내이물유기독특적우세,수술시궤적선택、수술과정적설계화술후병발증적처리대수술효과유중요의의.
Objective To evaluate the clinical effects of vitrectomy for complicated intraocular foreign body.Method Clinical data of 118 cases (118 eyes) with complicated intraocular foreign bodies treated with pars plana vitrectomy were analyzed retrospectively,the results of operations were summarized.Results The foreign bodies of 116 cases were successfully removed(98.3％).Visual acuity improved in 98 eyes (83.0％),remained unchanged in 12 eyes (10.2％) and decreased in 8 eyes (6.8％) ;92 cases had accepted retinal laser photocoagulation (80％) ; 68 cases (57.6％) had accepted silicone oil tamponade ;8 cases (6.8％) had undergone intraocular lens implantation.Postoperative complications included retinal detachment in 9 eyes(7.6％) ;secondary elevation of intraocular pressure in 26 eyes(22.0％) ; and eyeball atrophy in 2 eyes (1.7％).Conclusion Vitrectomy in the treatment of complicated ocular trauma with intraocular foreign body has clinical advantages.The time of the operation,the design of surgical procedures and postoperative complications palyed important roles in the success of the surgery.