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目的寻求摘出眼内异物的最佳手术径路。方法对22例眼内异物进行回顾性研究,12眼用传统的巩膜切开法,10眼用经睫状体平坦部玻璃体切除术摘出异物。结果传统方法和玻璃体切除术法均成功地摘出异物。单纯伴玻璃体出血机化者,经玻璃体手术术后视力明显提高。同时伴视网膜脱离者,异物摘出联合视网膜复位术后视力恢复不理想。结论眼内异物摘出以不进一步损伤眼组织为原则,必须综合分析异物位置及其并发症,以选择手术路径。
Objective To seek the best surgical approach to extract intraocular foreign body. Methods Twenty-two cases of intraocular foreign bodies were retrospectively studied. Twelve patients underwent traditional sclerectomy and 10 underwent vitrectomy with pars plana transection. Results Both traditional and vitrectomy methods successfully extracted foreign bodies. Simple with vitreous hemorrhage who, after vitreous surgery significantly improved visual acuity. At the same time with retinal detachment, removal of foreign body combined with retinal reattachment visual acuity after recovery is not satisfactory. Conclusions In order to select the surgical pathways, we must analyze the location of foreign body and its complication comprehensively in order to exclude the intraocular foreign body without further damage to the eye tissue.