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晶状体阻挡技术在眼内异物取出术中的应用。

Intraocular lens-blocking technique for intraocular foreign body removal.

机构信息

Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China.

出版信息

Indian J Ophthalmol. 2022 Jun;70(6):2176-2179. doi: 10.4103/ijo.IJO_2916_21.

DOI:10.4103/ijo.IJO_2916_21
PMID:35648008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9359256/
Abstract

The aim of this study was to describe a novel technique for intraocular foreign body (IOFB) removal. Phacoemulsification was performed in all patients, followed by a complete microincision vitrectomy to free all tissues surrounding the IOFB. A three-piece intraocular lens (IOL) was placed in the capsular bag, and an opening was made in the upper center of the capsule. The IOFB was removed and lifted to the anterior chamber through the capsular opening and IOL edge. The IOFB was confined to the anterior chamber by the IOL, and then easily extracted through the main corneal incision. The technique was adopted in six eyes of six patients. All IOFBs were removed successfully in all patients without intraoperative or postoperative complications. The IOL-blocking technique is a useful approach for IOFB removal.

摘要

本研究旨在描述一种用于眼内异物(IOFB)取出的新方法。所有患者均行超声乳化术,随后进行完整的微创玻璃体切除术以游离 IOFB 周围的所有组织。将三片式人工晶状体(IOL)置于囊袋内,并在囊袋的中上部位做一个切口。通过囊袋开口和 IOL 边缘将 IOFB 取出并提升至前房。通过 IOL 将 IOFB 限制在前房内,然后通过主角膜切口轻松取出。该技术应用于 6 名患者的 6 只眼。所有患者的 IOFB 均成功取出,术中及术后均无并发症。IOL 阻挡技术是一种用于 IOFB 取出的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b09/9359256/f2ce65f6be95/IJO-70-2176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b09/9359256/0b23ed3c7845/IJO-70-2176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b09/9359256/f2ce65f6be95/IJO-70-2176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b09/9359256/0b23ed3c7845/IJO-70-2176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b09/9359256/f2ce65f6be95/IJO-70-2176-g002.jpg

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本文引用的文献

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The varied presentations of siderosis from retained intraocular foreign body.眼内异物残留导致的铁锈沉着症的多种表现
Clin Exp Optom. 2019 Jan;102(1):86-88. doi: 10.1111/cxo.12804. Epub 2018 Jun 20.
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INTRAOCULAR LENS SCAFFOLD TO PREVENT INTRAOCULAR FOREIGN BODY SLIPPAGE.防止眼内异物滑落的人工晶状体支架
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Indian J Ophthalmol. 2022 Oct;70(10):3728-3729. doi: 10.4103/ijo.IJO_612_22.
Retin Cases Brief Rep. 2017;11(1):86-89. doi: 10.1097/ICB.0000000000000296.
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Endophthalmitis following open-globe injuries.开放性眼外伤后眼内炎。
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Current trends in the management of intraocular foreign bodies.眼内异物处理的当前趋势
Curr Opin Ophthalmol. 2008 May;19(3):225-33. doi: 10.1097/ICU.0b013e3282fa75f1.
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Vitrectomy for posterior segment intraocular foreign bodies: visual results and prognostic factors.玻璃体切除术治疗眼后段眼内异物:视力结果及预后因素
Retina. 2003 Oct;23(5):654-60. doi: 10.1097/00006982-200310000-00008.
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