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目的探讨眼球内异物手术治疗效果。方法 29例(29眼)球内异物中20例行内路手术(玻璃体切割+球内异物取出术)9,例行巩膜外路手术(电磁铁吸出术+磁棒接力吸出术),术后观察疗效。结果 29例眼球内异物全部顺利去除,其中1例巩膜外路手术患者术后出现眼内炎,再次行玻璃体切割及硅油填充术;1例内路手术患者术后继发视网膜脱离,再次行玻璃体视网膜手术;3例术后出现晶体浑浊,行白内障手术治疗。本组患者术后视力均有提高,除1例外路手术患者出现眼内炎外,余视力为0.5～1.0。结论眼球内异物取出术式选择应以最简单化、对患眼损伤最小的方式为主,尽量避免对已经受伤的眼球造成医源性的干扰。
Objective To investigate the surgical treatment of intraocular foreign body. Methods 29 cases (29 eyes) intraocular foreign bodies in 20 cases underwent internal surgery (vitrectomy + intracranial foreign body removal) 9, routine scleral extracranial surgery (electromagnet aspiration + magnetic bar relay aspiration), postoperative Observe the effect. Results All the 29 cases of intraocular foreign bodies were successfully removed. Among them, 1 case of scleral buckthrostomy resulted in endophthalmitis and vitrectomy and silicone oil filling again. One case of intra-corneal retinal detachment after intra-ocular surgery, Retinal surgery; 3 cases of crystal opacity, cataract surgical treatment. This group of patients with postoperative visual acuity have improved, except for 1 case of surgery in patients with endophthalmitis, the residual visual acuity of 0.5 to 1.0. Conclusion The removal of intraocular foreign body should be the most simple surgical procedure, with the least damage to the eyes, and try to avoid iatrogenic interference to the damaged eyes.