CAJ | 학술논문

目的探讨不同方式摘出后段眼内异物的临床效果.方法对眼内异物62例(62眼)的临床资料进行回顾性分析.结果所有患者均一次摘出异物.外路摘出9眼,内路经睫状体平坦部切口摘出22眼,内路经角膜缘切口摘出31眼.随访6 ～ 12个月.内路摘出53眼中视力提高者45眼,视力无明显改变者6眼,2眼并发眼球萎缩后行眼球摘除；外路摘出9眼,视力提高者8眼,1眼并发视网膜牵引性脱离,后行玻璃体切除术.结论视情况选择不同方式行眼后段眼内异物摘出术,可有效地恢复眼球结构,避免并发症的发生.
목적 탐토불동방식적출후단안내이물적림상효과.방법 대안내이물62례(62안)적림상자료진행회고성분석.결과 소유환자균일차적출이물.외로적출9안,내로경첩상체평탄부절구적출22안,내로경각막연절구적출31안.수방6 ～ 12개월.내로적출53안중시력제고자45안,시력무명현개변자6안,2안병발안구위축후행안구적제；외로적출9안,시력제고자8안,1안병발시망막견인성탈리,후행파리체절제술.결론 시정황선택불동방식행안후단안내이물적출술,가유효지회복안구결구,피면병발증적발생.
Objective To compare the clinical efficacy of different surgical methods in the management of posterior segment intraocular foreign body (IOFB),which include IOFBs are removed through wall of eyeball (from scleral wound,scleral incision or pars plana) or IOFBs are removed by vitrectomy (from pars plana or limbus).Methods The medical records of 62 cases (62 eyes) of posterior segment IOFB were retrospectively analyzed.Results Follow up was 6 ～ 12 months.In all cases,the IOFBs were removed in one surgery.Nine cases underwent removal of IOFBs through the wall of eyeball,2 cases of which from scleral wound,3 cases of which from scleral incision,4 cases of which from pars plana.In these 9 cases,visual acuities increased in 8 eyes and decreased in one eye which caused by retinal detachment and treated by vitrectomy.The IOFBs are removed by vitrectomy in 53 cases,22 cases of which from pars plana and 31 cases of which from limbus.In these 53 cases,visual acuities increased in 45 eyes,were no change in 6 eyes and decreased in 2 eyes which caused by ocular atrophy and treated by enucleation.Conclusion The posterior segment IOFBs can be removed by different surgical methods which depends on the size and location of IOFBs.Correct choice of surgical methods can restore the anatomic structure of eyeball and avoid the surgical complications.