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眼内异物摘出术后视网膜脱离
引用本文:颜华,许瀛海,周朝晖. 眼内异物摘出术后视网膜脱离[J]. 眼外伤职业眼病杂志, 2000, 22(4): 396-397
作者姓名:颜华  许瀛海  周朝晖
作者单位:1. 300052,天津医科大学总医院眼科
2. 北京304医院眼科
摘    要:目的 报告并分析眼内异物摘出术后视网膜脱离发生率及有关病因。方法 眼内异物20例(20眼),用玻璃体切除术摘出眼内异物。结果 20眼中术后视网膜脱离4眼(20%)。术后视力提高14眼(70%),视力不变3眼(15%),视力下降3眼(15%)。结论 眼内异物摘出术后视网膜脱离发生原因:⑴残留玻璃体形成牵拉;⑵激光封闭裂孔不确切;⑶术中未发现的小裂孔;⑷术前玻璃体积血浑浊未能及时激光治疗;⑸异物较大,

关 键 词:眼内异物 玻璃体切除术 视网膜脱离 手术后

Retinal detachment after intraocular foreign bodies removal with vitrectomy
YAN Hua,XU Yinghai,ZHOU Chaohui. Retinal detachment after intraocular foreign bodies removal with vitrectomy[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 2000, 22(4): 396-397
Authors:YAN Hua  XU Yinghai  ZHOU Chaohui
Abstract:To report the incidence of retinal detachment after intraocular foreign bodies removal with vitrectomy,and to analyze the relative reasons.Methods A retrospective analysis of 20 consecutive patients (20 eyes) who underwent pars plana vitrectomy for the treatment of intraocular foreign bodies removal was conducted.The standardized three port vitrectomy was used in all injured eyes.Results Four (20%) of 20 eyes had retinal detachment.Visual acuity increased in 14 eyes (70%),stabilized in 3 eyes (15%),and deteriorated in 3 eyes (15%).Conclusion The possible reasons of retinal detachment after intraocular foreign bodies removal with vitrectomy included:(1) the remnant vitreous traction formation;(2) not proper photocoagulation around the retinal hole;(3) tiny retinal hole not found during the surgery;(4) no preoperative photocoagulation on the surface of retina around the foreign body;and (5) the peripheral retinal tear induced by large foreign body removal.
Keywords:Intraocular foreign body Vitrectomy Retinal detachment.  
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