Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Can J Ophthalmol. 2013 Feb;48(1):8-12. doi: 10.1016/j.jcjo.2012.11.005.
A systematic review of the literature on the diagnosis and management of traumatic intraocular foreign bodies (IOFBs) is presented together with a schematic "flight plan" to assist in clinical decision making when confronted with an IOFB. Several large retrospective series of IOFB have been published recently, with relevant observations regarding prognostic factors, endophthalmitis and retinal detachment incidence, timing of surgical intervention, and preventative measures. Eye trauma and IOFB, in particular, remain poorly suited to prospective study because of their variability. With few exceptions, retrospective observational series represent the strongest clinical evidence to guide our approach to IOFB. Synthesis of the available literature into a general guideline for management of IOFB would be helpful considering the typically hectic first few hours after such a patient presents to the ophthalmologist.
本文对创伤性眼内异物（IOFB）的诊断和处理的文献进行了系统回顾，并提出了一个示意图“飞行计划”，以协助临床医生在面对 IOFB 时做出决策。最近已经发表了几项关于 IOFB 的大型回顾性系列研究，其中涉及预后因素、眼内炎和视网膜脱离发生率、手术干预时机和预防措施等相关观察结果。眼部创伤和 IOFB 尤其不适合前瞻性研究，因为它们的变异性很大。除了少数例外，回顾性观察性系列研究是指导我们处理 IOFB 的最有力的临床证据。考虑到患者就诊后最初的几个小时通常非常忙碌，将现有的文献综合为 IOFB 管理的一般指南将是有帮助的。
