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为探索玻璃体切除联合眼内异物取出的适应症、手术方式和提高疗效。本组分析48例眼内异物病例,包括磁性异物25例,非磁性异物23例。采用玻璃体切除方法来治疗。结果:44例(91.7%)通过扁平部或角膜缘切口取出异物,视力改善或不变29例(61.7%),视网膜复位47例(97.8%)。结论:眼内异物伴有中间质混浊及视网膜脱离可考虑通过玻璃体切割术来取出异物及处理这些并发症。通常眼内异物通过扁平部切口用异物镊在直视下取出,但大于5mm异物需通过角膜缘切口取出。
To explore the vitrectomy combined with the removal of intraocular foreign body indications, surgical methods and improve efficacy. This group of 48 cases of intraocular foreign body analysis, including 25 cases of magnetic foreign bodies, 23 cases of non-magnetic foreign body. Vitrectomy method to treat. Results: Twenty - four patients (91.7%) had foreign bodies removed through the flaps or the limbus incision. There were 29 eyes (61.7%) with visual acuity improvement or no change, and 47 eyes (97.8%) had retinal reattachment. CONCLUSION: Intraocular foreign bodies associated with cloudy mesoderm and retinal detachment may be considered for removal of foreign bodies by vitrectomy and for the management of these complications. Usually intraocular foreign body through the flat incision with foreign tweezers removed under direct vision, but greater than 5mm foreign body material to be removed through the limbus incision.