摘要
目的:探讨经25G微创玻璃体切除手术(PPV)治疗的眼内异物的临床特征及疗效,分析术后视力的影响因素。方法:收集西南医科大学附属医院眼科2016-01-01/2019-01-01以眼内异物并行25G微创玻璃体切除手术治疗的患者105例105眼,对患者眼内异物的临床特征、PPV的疗效和最佳矫正视力(BCVA)等情况进行回顾性研究并统计分析术后视力的影响因素。结果:患者105例中以中青年男性居多,多来自于乡镇。异物类型以金属常见,共计62眼(59.0%),主要由Ⅰ区进入眼内(78眼,74.3%)。术中异物取出率100%。术前BCVA≥0.1的患者17眼,BCVA<0.1者88眼;术后BCVA≥0.1患者43眼,BCVA<0.1患者62眼,术后BCVA较术前BCVA有提高(P<0.05)。经多因素Logistic回归分析,术前较差的BCVA、视网膜脱离和眼内炎是术后视力较差的独立危险因素。结论:25G微创玻璃体切除手术可以改善大多数眼内异物患者视力。术前较差的BCVA、合并视网膜脱离和眼内炎是术后视力较差的重要危险因素。
·AIM:To explore clinical characteristics,outcomes and prognostic factors for cases with intraocular foreign bodies(IFB)and treated with 25G minimally invasive vitrectomy(PPV).·METHODS:Patients traumatized with retained IFB and treated with PPV were retrospectively collected from the Department of Ophthalmology,Affiliated Hospital of Southwest Medical University from 2016-1-1 to 2019-1-1.The clinical records including general condition,time and cause of injury,locations andsize of IFBs,comorbidities,and best corrected visual acuity(BCVA)were reviewed and statistical analyzed.·RESULTS:Among the 105 patients,most of them are middle-aged and young men,mostly from townships.The nature of IFB was mainly metals(62 cases,59.0%).The entrance of IFB of 78 cases(74.3%)located at Zone I of the eye.There were 17 patients with BCVA≥0.1 before surgery,88 patients with BCVA<0.1.And 43 patients gained BCVA≥0.1 after operation,and 62 patients with BCVA<0.1.Postoperative BCVA was significantly improved compared with preoperative BCVA(P<0.05).Through multivariate Logistic regression analysis,poor preoperative BCVA,retinal detachment,and endophthalmitis are risk factors for poor visual prognosis.·CONCLUSION:PPV for treatment of IFB can achieve a better outcome.The poor prognosis of visual acuity is related to retinal detachment,endophthalmitis,and the position and size of IFB.
作者
罗云霞
田敏
向小红
周琦
吕红彬
Yun-Xia Luo;Min Tian;Xiao-Hong Xiang;Qi Zhou;Hong-Bin Lyu(Department of Ophthalmology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China)
出处
《国际眼科杂志》
CAS
北大核心
2020年第5期896-900,共5页
International Eye Science
关键词
眼内异物
25G微创玻璃体切除手术
视力
影响因素
intraocular foreign body
25G minimally invasive vitrectomy
visual acuity
influence factors
