Saroya J S, Sasikanth R R, Agarwal T, Agarwal S, Agarwal A
Eye Research Centre, Madras, India.
Indian J Ophthalmol. 1992 Apr-Jun;40(2):38-40.
Ten consecutive cases of perforating ocular injuries with retained intraocular foreign bodies over a period of 2 years were reviewed retrospectively in this study. All cases were operated upon by a 3 port pars plana vitrectomy and if necessary endolaser done. All ten cases (100%) were successful in terms of intraocular foreign body removal through the pars plana sclerotomy but ultimately we lost three [3] [30%] cases of which two had retinal detachments with P.V.R. D-3 preoperatively and the other had endophthalmitis. Of the seven (70%) successful cases four eyes (40%) had a post-operative vision of 6/12 or better while 2 [20%] had 6/24 and the last had 6/60 [10%]. Nine cases [90%] had a magnetic Intraocular foreign body. Various complications of Intraocular foreign bodies like vitreous haemorrhage, retinal incarceration, cataract and retinal detachment were noted preoperatively. Silicone oil was used in three (30%) cases. Sulfur Hexafluoride was used in 5 cases (50%). Endolaser photocoagulation was done in 7 cases (70%).
本研究回顾性分析了2年内连续收治的10例伴有眼内异物残留的眼球穿孔伤病例。所有病例均采用三通道玻璃体切除术，并在必要时进行眼内激光治疗。所有10例（100%）均通过睫状体平坦部巩膜切开术成功取出眼内异物，但最终有3例（30%）失败，其中2例术前存在视网膜脱离伴增殖性玻璃体视网膜病变（PVR）D-3级，另1例发生了眼内炎。在7例（70%）成功的病例中，4只眼（40%）术后视力达到6/12或更好，2只眼（20%）视力为6/24，最后1只眼视力为6/60（10%）。9例（90%）有磁性眼内异物。术前记录了眼内异物的各种并发症，如玻璃体积血、视网膜嵌顿、白内障和视网膜脱离。3例（30%）使用了硅油。5例（50%）使用了六氟化硫。7例（70%）进行了眼内激光光凝治疗。
