眼内异物伤的玻璃体切割术

Pars plana vitrectomy in ocular injury with intraocular foreign body.

作者信息

Demircan Nihal, Soylu Merih, Yagmur Meltem, Akkaya Handan, Ozcan Altan Atakan, Varinli Ilter

机构信息

Department of Ophthalmology, Cukurova University School of Medicine, Adana, Turkey.

出版信息

J Trauma. 2005 Nov;59(5):1216-8. doi: 10.1097/01.ta.0000196438.48182.ff.

DOI:10.1097/01.ta.0000196438.48182.ff

PMID:16385302

Abstract

BACKGROUND

We evaluated 70 cases of ocular injuries with intraocular foreign bodies to determine the results of surgical management.

METHODS

The site of penetration was cornea in 58 (82.9%), sclera in 8 (11.4%), and limbus in 4 (5.7%) eyes. The foreign body was in the vitreous in 40 (57.1%) and embedded in the retina in 30 (42.9%) cases. Before pars plana vitrectomy, the most common findings were found to be lens perforation (77.1%), vitreous hemorrhage (45.7%), endophthalmitis (20%), hyphema (4.3%), and retinal detachment (2.9%).

RESULTS

After pars plana vitrectomy, visual acuity improved in 39 (55.7%), did not change in 19 (27.2%), and decreased in 8 (11.4%) cases. We observed secondary glaucoma in 11 (15.7%), retinal detachment in 10 (14.3%), and phthisis bulbi in 3 (4.3%) cases postoperatively.

CONCLUSION

Pars plana vitrectomy is found to be an effective therapeutic approach in removing intraocular foreign bodies, but the preoperative and postoperative complications determine the visual outcome.

摘要

背景

我们评估了70例眼内异物所致眼外伤病例，以确定手术治疗的结果。

方法

穿透部位为角膜的有58只眼（82.9%），巩膜的有8只眼（11.4%），角膜缘的有4只眼（5.7%）。异物位于玻璃体的有40例（57.1%），嵌入视网膜的有30例（42.9%）。在经平坦部玻璃体切除术之前，最常见的表现为晶状体穿孔（77.1%）、玻璃体积血（45.7%）、眼内炎（20%）、前房积血（4.3%）和视网膜脱离（2.9%）。