中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2015年
2期
76-80
,共5页
胡运韬%马志中%冯学峰%王常观%窦宏亮%许艺民%封康%靳瑛
鬍運韜%馬誌中%馮學峰%王常觀%竇宏亮%許藝民%封康%靳瑛
호운도%마지중%풍학봉%왕상관%두굉량%허예민%봉강%근영
眼损伤,穿透性%眼异物%眼外科手术
眼損傷,穿透性%眼異物%眼外科手術
안손상,천투성%안이물%안외과수술
Eye injuries,penetrating%Eye foreign bodies%Ophthalmologic surgical procedures
目的 总结球内异物伤的临床特点,为隐匿性球内异物的诊断提供参考.方法 回顾性病例研究.分析2007年12月至2013年12月在北京大学第三医院手术取出球内异物的病例141例(143眼).结果 磁性金属异物46眼;非磁性金属异物62眼;植物异物5眼;稳定性异物(玻璃、陶瓷、塑料)19眼;土质异物(石块、煤渣、火药、铅笔芯)11眼.其中,眼球内异物无反应的占11.2％,前房出血7.0％,白内障60.1％,玻璃体出血33.6％,视网膜脱离30.1％,眼内炎11.9％,虹膜睫状体炎3.5％,青光眼5.6％,铁锈症5.6％5例隐匿性球内异物.结论 球内异物伤由于致伤物的多样性,可导致多种多样的眼部损害,掌握球内异物伤的临床特征尤其有利于提高隐匿性球内异物的诊断率,防止漏诊误诊.
目的 總結毬內異物傷的臨床特點,為隱匿性毬內異物的診斷提供參攷.方法 迴顧性病例研究.分析2007年12月至2013年12月在北京大學第三醫院手術取齣毬內異物的病例141例(143眼).結果 磁性金屬異物46眼;非磁性金屬異物62眼;植物異物5眼;穩定性異物(玻璃、陶瓷、塑料)19眼;土質異物(石塊、煤渣、火藥、鉛筆芯)11眼.其中,眼毬內異物無反應的佔11.2％,前房齣血7.0％,白內障60.1％,玻璃體齣血33.6％,視網膜脫離30.1％,眼內炎11.9％,虹膜睫狀體炎3.5％,青光眼5.6％,鐵鏽癥5.6％5例隱匿性毬內異物.結論 毬內異物傷由于緻傷物的多樣性,可導緻多種多樣的眼部損害,掌握毬內異物傷的臨床特徵尤其有利于提高隱匿性毬內異物的診斷率,防止漏診誤診.
목적 총결구내이물상적림상특점,위은닉성구내이물적진단제공삼고.방법 회고성병례연구.분석2007년12월지2013년12월재북경대학제삼의원수술취출구내이물적병례141례(143안).결과 자성금속이물46안;비자성금속이물62안;식물이물5안;은정성이물(파리、도자、소료)19안;토질이물(석괴、매사、화약、연필심)11안.기중,안구내이물무반응적점11.2％,전방출혈7.0％,백내장60.1％,파리체출혈33.6％,시망막탈리30.1％,안내염11.9％,홍막첩상체염3.5％,청광안5.6％,철수증5.6％5례은닉성구내이물.결론 구내이물상유우치상물적다양성,가도치다충다양적안부손해,장악구내이물상적림상특정우기유리우제고은닉성구내이물적진단솔,방지루진오진.
Objective To identify the characteristics of intraocular foreign bodies (IOFB) to provide references for the diagnosis of occult IOFB.Methods One hundred forty-three eyes with IOFB from December 2007 to December 2013 were analyzed retrospectively.Results Of the patients,46 eyes were diagnosed with magnetic IOFB,62 eyes were diagnosed with non-magnetic IOFB,5 eyes were diagnosed with botanic IOFB,19 eyes were diagnosed with stable IOFB (glass,pottery,plastics),and 11 eyes were diagnosed with earth-based IOFB (stone,coal,powder,pencil core).The IOFBs induced non-reaction (11.2％),hyphema (7.0％),cataract (60.1％),vitreous hemorrhage (33.6％),retinal detachment (30.1％),endophthalmitis (11.9％),iridocyclitis (3.5％),glaucoma (5.6％) and siderosis (5.6％).Five of the eyes were diagnosed with occult IOFB.Conclusion Variations in IOFBs induce a variety of clinical manifestations in the eyes.It is very important to have knowledge of the clinical characteristics of IOFB to diagnose occult IOFB.
