摘要
目的 探讨玻璃体切除手术治疗后部视网膜内或视网膜下异物的效果和并发症。方法 对 2 6例 (2 6眼 )眼穿孔伤后部视网膜内和视网膜下异物进行玻璃体切除 ,后部异物处机化包裹切开或视网膜切开摘出异物 ,联合眼内激光、C3 F8或硅油内填充治疗。结果 异物摘出率为 92 3% ,视力 >0 0 1者占 73% ,>0 1者占 19 2 % ,并发症主要有视网膜脱离 15 4% ,异物未摘出 7 6 %。结论 玻璃体手术结合眼内激光与内填充是治疗视网膜内与视网膜下异物的有效方法 ,但由于后部视网膜的损伤及并发症的出现 。
Objective TO evaluate the efficacy and complication of vitrectomy for intra and subretinal foreign body. Methods 26 case (26 eyes) with intra or subretinal foreign bodies were operated. After vitrectomy,fibrous capsule incision or retinotomy were performed, foreign body was grasped by an intraocular forceps and then removed. Retinotomy was treated with endolaser and C 3F 8 or silicone oil was injected. The success rate of the surgery was recorded. Visual acuity and long term complications were also followed. Results 92.3% of the foreign bodies were successfully removed, 73% eyes obtained visual acuity of better than 0.01, main complications were retinal detachment and failure of foreign body removal. Conclusions Vitrectomy combined with endolaser and tamponade is an effective procedure in the treatment of intra or subretinal foreign body. Because of the damage of the retina at the posterior and other complications.the visual outcome was not so satisfying.
出处
《眼外伤职业眼病杂志》
北大核心
2001年第1期7-8,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
