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目的 :回顾性分析平坦部玻璃体切割术治疗眼内异物的临床效果。方法 :对 3 2例 ( 3 2只眼 )眼外伤伴有眼内异物患者施行玻璃体切割术、晶体切割术、眼内异物摘出术、视网膜脱离复位及巩膜环扎等联合手术。结果 :眼内异物均一次性摘出。随访 1～ 1 8个月 ,术后视力提高者 2 4只眼 ( 75%、裸眼或矫正视力≥ 0 1者 1 7只眼 ,0 0 2～ 0 0 8者 7只眼 ) ,不变者 3只眼 ,下降者 5只眼 (眼球萎缩 )。结论 :应用平坦部玻璃体切割术摘出眼内异物损伤小、准确且安全 ,有利于及时处理并发症和提高术后视力 ,是值得推广的手术方法
Objective: To retrospectively analyze the clinical effect of flat vitrectomy on intraocular foreign bodies. Methods: Thirty two (32 eyes) ocular trauma patients with intraocular foreign bodies underwent vitrectomy, vitrectomy, intraocular foreign body extraction, retinal detachment and scleral buckling. Results: All intraocular foreign bodies were removed at one time. All the patients were followed up for 1 ~ 18 months. 24 eyes (75%, 17 eyes with uncorrected visual acuity ≥ 0 1, 7 eyes with 0 0 2 ~ 0 0 8) 3 eyes, descending 5 eyes (atrophy of the eyeball). Conclusion: It is worth to popularize the operation that the flat vitrectomy removal of intraocular foreign body injury is small, accurate and safe, which is conducive to timely treatment of complications and improve postoperative visual acuity