CAJ | 학술논문

目的探讨角膜深层栗刺异物伤异物摘出方法及临床效果.方法对60例(60眼)角膜深层栗刺异物伤进行分析.根据栗刺异物的具体表现分别在裂隙灯显微镜下或手术显微镜下采取镊取法、针剔法、板层角膜瓣法,以及手术显微镜下的经前房顶推法进行异物摘出术.结果 60例角膜深层异物全部摘出且无手术并发症发生.50例(83.3％)视力较初诊时提高,基本维持不变者10例(16.7％),未见下降者.结论查清全部异物情况,选择合适的手术方式摘出异物,是角膜深层栗刺异物伤治疗的关键.
목적 탐토각막심층율자이물상이물적출방법급림상효과.방법 대60례(60안)각막심층율자이물상진행분석.근거율자이물적구체표현분별재렬극등현미경하혹수술현미경하채취섭취법、침척법、판층각막판법,이급수술현미경하적경전방정추법진행이물적출술.결과 60례각막심층이물전부적출차무수술병발증발생.50례(83.3％)시력교초진시제고,기본유지불변자10례(16.7％),미견하강자.결론 사청전부이물정황,선택합괄적수술방식적출이물,시각막심층율자이물상치료적관건.
Objective To investigate the clinical effects and the method of corneal foreign body removal with chestnut thorns.Methods Sixty eyes of 60 cases with corneal foreign body of chestnut thorns were analysed.The foreign bodies were removed with the forceps,the needle picking method or the pushing method from the anterior chamber under slit lamp or operating microscope.Results The deep corneal foreign bodies were all removed and no operative complications occurred.The vision was improved in 50 cases (83.3％),and remained unchanged in 10 cases (16.7％).No cases with declined vision were found.Conclusion Finding out all the foreign bodies and choosing an appropriate surgical removal method are the key points for deep corneal foreign body of chestnut thorn.