前言目的: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(8780%),等于术前者4只眼(976%),下降者1只眼(244%)。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:Toevaluatethemethodsandefficiencyoftheoperationforvariouspenetratingeyeinjuriescomplicatedwithintraocularforeignbody(IOFB).Methods:41eyesofvariouspenetratingeyeinjuriescomplicatedwithintraocularforeignbodyweretreatedwithcombinedoperationwhichincludedparsplanavitrectomy(PPV),extractionofintraocularforeignbody,cataractextraction,andintraocularlaserphoto-coagulation,etc.Results:TheIOFBswereextracteds...