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目的 :总结与分析眼外伤眼内异物同时伴有视网膜裂孔的病例手术方式选择及临床疗效。方法 :对 15例眼外伤眼内异物同时伴有视网膜裂孔的 15只眼进行回顾性疗效分析。结果 :本组 15例 15只眼采用玻璃体视网膜手术 ,异物一次性取出 ,根据视网膜裂孔及损伤情况 ,2只眼因裂孔小未行光凝 ,其余 13只眼行裂孔周围视网膜光凝 ,其中 2只眼气液交换眼内空气填充 ,3只眼C3 F8填充 ,4只眼硅油填充。主要并发症 :视网膜再出血 3只眼 ,术后增生性玻璃体视网膜病变 5只眼 ,其中视网膜脱离 3只眼。术后矫正视力 :光感～指数 2只眼 ,0 0 2～ 0 0 9者 3只眼 ,0 1～ 0 2者 6只眼 ,>0 3者 4只眼。结论 :采用玻璃体视网膜手术 ,有效地眼内光凝 ,并选择合适的眼内填充物对伴有视网膜裂孔的眼内异物伤有较好的疗效。
OBJECTIVE: To summarize and analyze the surgical methods and clinical curative effects of intraocular foreign body with retinal tears. Methods: A retrospective analysis of 15 eyes with 15 eyes with traumatic retinal tears was performed. Results: The 15 eyes of 15 cases were treated by vitreoretinal surgery and the foreign bodies were removed at one time. According to the retinal breaks and injuries, the two eyes had small photocoagulation due to small holes and the remaining 13 eyes had retinal photocoagulation around the hiatus, of which 2 Only eye gas-liquid exchange intra-eye air filled, 3 eyes C3 F8 filled, 4 eyes silicone oil filled. The main complications: 3 cases of retinal rebleeding, postoperative proliferative vitreoretinopathy 5 eyes, retinal detachment in 3 eyes. Postoperative corrected visual acuity: light perception ~ index 2 eyes, 0 0 2 ~ 0 0 9 3 eyes, 0 1 ~ 0 2 6 eyes,> 0 3 4 eyes. CONCLUSION: Intravitreal photocoagulation with vitreoretinal surgery is an effective method for intraocular foreign body injury associated with retinal breaks.