Hadden O B, Wilson J L
Eye Department, Auckland Hospital, New Zealand.
Aust N Z J Ophthalmol. 1990 Aug;18(3):343-51. doi: 10.1111/j.1442-9071.1990.tb00631.x.
This study of 69 cases of retained intraocular foreign body confirms that eyes with anterior segment foreign bodies fare better than those with posterior segment foreign bodies, that eyes with smaller foreign bodies fare better than those with larger, and that the magnet is the safest method of removal. There is no evidence to support primary vitrectomy in every case of posterior segment foreign body. Computerised tomography is the best method of localisation, but a foreign body can be missed on computerised tomography, and a plain x-ray is still the best method of detection.
这项对69例眼内异物存留病例的研究证实,前段异物眼的预后优于后段异物眼,较小异物眼的预后优于较大异物眼,并且磁铁是最安全的取出方法。没有证据支持对每例后段异物都进行一期玻璃体切除术。计算机断层扫描是最佳的定位方法,但计算机断层扫描可能会漏诊异物,而普通X线片仍是最佳的检测方法。