Ma Jin, Zhang Yi, Moe Morten C, Zhu Tie Pei, Yao Ke
Eye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jiefang Rd, Hangzhou 310009, China.
Arch Ophthalmol. 2012 Apr;130(4):493-6. doi: 10.1001/archopthalmol.2011.1482.
A case of perforating ocular injury with a retrobulbar foreign body and a large full-thickness posterior pole defect near the optic disc was scheduled for vitrectomy after primary corneal suturing. Because it was difficult to remove the retrobulbar foreign body by orbitotomy and perform the outside suture, the retrobulbar foreign body was removed through the posterior hole by a transocular approach, and an autologous Tenon capsule flap was used to internally patch the large full-thickness posterior pole defect, thus enabling silicon tamponade. After 3 months of follow-up, there was no immune response around the patch. The retina remained mostly attached with a maintained peripheral visual field, normal intraocular pressure, and good cosmetic appearance. This surgical technique may be valuable in patients with a perforating retrobulbar foreign body and a large full-thickness posterior pole defect.
一例伴有球后异物及视神经盘附近巨大全层后极部缺损的眼球穿孔伤患者，在一期角膜缝合后计划行玻璃体切除术。由于通过眼眶切开术取出球后异物并进行外部缝合困难，遂经眼内途径通过后孔取出球后异物，并使用自体眼球筋膜瓣对巨大全层后极部缺损进行内部修补，从而得以进行硅酮填塞。随访3个月后，修补物周围未出现免疫反应。视网膜大部分保持附着，周边视野得以维持，眼压正常，外观良好。这种手术技术对于伴有球后穿孔性异物及巨大全层后极部缺损的患者可能具有重要价值。
