Heimann K, Paulmann H, Tavakolian U
Klin Monbl Augenheilkd. 1978 Feb;172(2):263-9.
A preliminary report is given on 100 consecutive cases of pars plana vitrectomy after perforating injuries due to nonmagnetic IOFB (9 cases), magnetic IOFB (32 cases) and lacerating injuries (19 cases). Pars plana vitrectomy was performed to remove persistent vitreous membranes, to prevent proliferative transformation with following retinal detachment or to make the IOFB become visible for extraction. These eyes were practically amaurotic but in 43 cases out of 100 a positive results could be achieved (i.e. the retina being attached, posterior pole becoming visible). Indications, technique and complications of both pars plana vitrectomy and FB extraction are discussed. As a result pars plana vitrectomy should be performed within an interval of at least 2 weeks after the first intervention (i.e. wound closure of FB extraction).
本文给出了100例连续病例的初步报告，这些病例均为非磁性眼内异物穿孔伤（9例）、磁性眼内异物穿孔伤（32例）和撕裂伤（19例）后行玻璃体切除术的情况。行玻璃体切除术的目的是清除残留的玻璃体膜，防止增殖性病变继发视网膜脱离，或使眼内异物变得可见以便取出。这些患眼实际上已失明，但100例中有43例取得了阳性结果（即视网膜复位，后极部可见）。文中讨论了玻璃体切除术和异物取出术的适应证、技术及并发症。结果表明，玻璃体切除术应在首次干预（即异物取出伤口缝合）后至少2周的间隔时间内进行。
