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目的 探讨和评价玻璃体手术治疗复杂性眼内异物的效果和手术相关因素。方法 对 2 0例 (2 0眼 )眼内异物患者行玻璃体切割联合眼内异物摘除治疗 ,并行回顾性分析。结果 2 0眼中摘除异物 18例 ,异物摘除率为 90 % ,术后视力提高 14眼 (70 % ) ,视力不变 4只眼 (2 0 % ) ,视力下降2只眼 (10 % )。并发症主要为视网膜脱离。结论 玻璃体手术治疗复杂性眼内异物为一有效的治疗方法 ,能提高异物的摘除率 ,并同时治疗眼内多组织的损伤 ,促进视功能的恢复。
Objective To investigate and evaluate the effect of intravitreal vitrectomy on complex intraocular foreign bodies and related factors of surgery. Methods 20 cases of intraocular foreign bodies (20 eyes) were treated with vitrectomy combined with intraocular foreign body removal, and retrospectively analyzed. Results 20 cases of foreign body removal in 18 cases, removal of foreign body was 90%, postoperative visual acuity increased 14 eyes (70%), unchanged vision 4 eyes (20%), vision decreased 2 eyes (10%). The main complications of retinal detachment. Conclusion Vitreous surgery for complex intraocular foreign body is an effective treatment method, which can improve the removal rate of foreign body and simultaneously treat multiple intraocular lesions and promote the recovery of visual function.