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目的观察眼后段眼内异物行玻璃体手术摘出的临床效果。方法本组156例(156眼)。其中非磁性异物128眼,伴玻璃体积血浑浊96眼,外伤性白内障81眼,视网膜脱离69眼,异物被纤维包裹33眼,伴眼内炎5眼,视网膜下异物2眼。手术均采用经睫状体平坦部标准三通道切口。伴有晶状体浑浊者,先行晶状体摘出,再行玻璃体手术摘出眼内异物;伴有视网膜脱离者,在玻璃体手术摘出眼内异物后再行视网膜复位、眼内光凝术或气体或硅油填充。行Ⅰ期或Ⅱ期人工晶状体植入或睫状沟缝合固定术。本组3眼因异物较大,而采用角膜缘隧道切口摘出。术后观察3~6个月。结果本组156眼均经玻璃体手术成功摘出眼内异物,伴视网膜脱离的69眼均复位,伴眼内炎的5眼均得以有效控制。术后视力与术前相比均有不同程度提高。结论玻璃体手术可以去除屈光间质浑浊,同时摘出眼内异物、治疗视网膜脱离及其他并发症。
Objective To observe the clinical effect of intravitreal foreign body extraction in vitreous surgery. Methods 156 cases (156 eyes). Among them, 128 eyes of non-magnetic foreign bodies, 96 eyes of vitreous hemorrhage, 81 eyes of traumatic cataract, 69 eyes of retinal detachment, 33 eyes of foreign bodies surrounded by fibers, 2 eyes with endophthalmitis and 2 eyes of foreign body under the retina. Surgical use of the ciliary body flat standard three-channel incision. With lens opacity, the first lens removal, and then vitrectomy removal of intraocular foreign body; associated with retinal detachment, removal of intraocular foreign body after vitreoretinal retinal reattachment, intraocular photocoagulation or gas or silicone oil filled. Line Ⅰ or Ⅱ intraocular lens implantation or ciliary sulcus suture fixation. This group of 3 due to foreign body larger, and the use of limbal tunnel incision removed. Postoperative observation of 3 to 6 months. Results All the 156 eyes of this group were successfully removed intraocular foreign bodies by vitreous surgeries. All of the 69 eyes with retinal detachment were reset, and 5 eyes with endophthalmitis were effectively controlled. Postoperative visual acuity compared with preoperative increased in varying degrees. Conclusion Vitreous surgery can remove the opacity interstitial turbidity, while removal of intraocular foreign body, the treatment of retinal detachment and other complications.