玻璃体切除治疗眼内异物继发视网膜脱离

目的　探讨眼内异物继发视网膜脱离的临床特点 ,评价玻璃体切除手术的治疗效果。方法　回顾性分析 1999年2月～ 2 0 0 2年 10月期间 3 2例经玻璃体切除手术治疗的眼内异物继发视网膜脱离的病例资料。结果　本组 3 2例 (3 4眼 )均成功摘出异物 ,3 0例 (3 0眼 )占 88.2 4% ,术后视力得到不同程度的提高或稳定在术前水平 ,视网膜复位 2 9例 ,占 85 .2 9% .结论　玻璃体牵引、裂孔形成是眼内异物继发视网膜脱离的关键。玻璃体切除手术可成功地摘出眼内异物 ,有效地处理视网膜脱离等并发症。

Vitrectomy for retinal detachment after intraocular foreign bodies

Objective To explore the clinical characters of retinal detachment after intraocular foreign bodies and the efficacy of vitreous surgery. Methods Clinical records were reviewed on all cases who underwent vitreous surgery for the retinal detachment after intraocular foreign bodies from 1999 to 2002. Results The foreign bodies were extracted in all cases,the visual acuity were improved or steady in 30 cases (88.24%),the retinal were reattached in 29 cases (85.29%) at the end of follow-up. Conclusion vitreous traction and retinal break were the key of retinal detachment.Vitrectomy could extract the intraocular foreign bodies successively and treat the retinal detachment effectively.