CAJ | 학술논문

目的探讨眼球贯通伤的临床特点及治疗方法.方法采用回顾性分析法.对2004年5月至2012年8月期间诊治的眼球贯通伤患者8例(8只眼),分析其临床特点及治疗效果.随访3～18个月.结果 8例术后最佳矫正视力均有不同程度的提高.其中,2例球壁异物均摘出,4例眶内球外异物存留;1例缝合的后巩膜伤口愈合好,7例未缝合的后巩膜伤口由瘢痕组织封闭.随诊期间未发生并发症.结论出口异物嵌在球壁需摘出,在眶内球外可不必强行摘出.后巩膜伤口一般不需缝合.二期玻璃体切除术是治疗眼球贯通伤有效方法,伤后7～14d是理想地手术时机.
목적 탐토안구관통상적림상특점급치료방법.방법 채용회고성분석법.대2004년5월지2012년8월기간진치적안구관통상환자8례(8지안),분석기림상특점급치료효과.수방3～18개월.결과 8례술후최가교정시력균유불동정도적제고.기중,2례구벽이물균적출,4례광내구외이물존류;1례봉합적후공막상구유합호,7례미봉합적후공막상구유반흔조직봉폐.수진기간미발생병발증.결론 출구이물감재구벽수적출,재광내구외가불필강행적출.후공막상구일반불수봉합.이기파리체절제술시치료안구관통상유효방법,상후7～14d시이상지수술시궤.
Objective To evaluate the clinical characteristics and treatment of patients with perforating injury of eyeball.Methods Eight patients (8 eyes) with perforating injury of eyeball from May 2004 to August 2012 were retrospectively reviewed.The clinical characteristics and the effect of treatment were analyzed.The follow-up time was from 3 to 18 months.Results The postoperative best-corrected visual acuity was improved to different degrees in 8 patients.Two foreign bodies on eyeball wall were extracted.Four foreign bodies persisted in orbit.The one wound at posterior sclera healed well after saturation.The other wound at posterior sclera closed by scar tissue without saturation.There was no complication observed in 8 patients with perforating injury of eyeball.Conclusions Exit foreign bodies on eyeball wall must be extracted.And it is not necessary to forcibly extract the exit foreign bodies in orbit.The wound generally do not need to be sutured.Two-stage vitrectomy is an efficacious method in the treatment of perforating injury of eyeball.It is proper to perform vitrectomy between 7-14 days later.