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目的 :探讨玻璃体视网膜联合术治疗复杂眼球穿通伤伴眼内异物的疗效。方法 :应用玻璃体切割术、眼内异物取出术、外伤性白内障摘除术、眼内光凝、眼内充填术 ,部分病例结合巩膜外加压术等玻璃体视网膜联合手术治疗复杂眼球穿通伤伴眼内异物 41只眼。结果 :41只眼异物均一次手术取出 ,术后视力高于术前者 36只眼 (87 80 % ) ,等于术前者 4只眼(9 76 % ) ,下降者 1只眼 (2 44 % )。 3个月至 3年随访期间 ,无一例发生复发性视网膜脱离。结论 :复杂眼球穿通伤伴眼内异物常导致眼内多种组织的严重损伤。玻璃体切割、异物取出等联合手术是准确、安全、有效的治疗方法 ,可挽救患者一定视功能。
Objective: To investigate the efficacy of vitreoretinal surgery combined with intraocular foreign body in the treatment of complicated penetrating traumatic eye injury. Methods: Vitrectomy, intraocular foreign body extraction, traumatic cataract extraction, intraocular photocoagulation, intraocular filling, and some cases combined with scleral buckling and other vitreoretinal surgery in complex penetrating eye injury with intraocular Foreign body 41 eyes. Results: All 41 eyes were surgically removed. The postoperative visual acuity was higher in 36 eyes (87 80%) than in preoperative eyes, equal to 4 eyes (9 76%) in preoperative and 1 44 eyes (44% ). During 3 months to 3 years of follow-up, no case of recurrent retinal detachment occurred. CONCLUSIONS: Complex penetrating traumatic eye injury with intraocular foreign bodies often results in severe damage to multiple tissues in the eye. Vitrectomy, foreign body removal and other joint surgery is accurate, safe and effective treatment that can save patients with visual function.