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取出角膜金属异物和锈环的改良方法

张舒 曹国凡 刘锦

国际眼科杂志2016,Vol.16Issue(12):2180-2183,4.
国际眼科杂志2016,Vol.16Issue(12):2180-2183,4.DOI:10.3980/j.issn.1672-5123.2016.12.03

取出角膜金属异物和锈环的改良方法

Easy removal of rust rings formed after metal foreign bodies in cornea

张舒 1曹国凡 1刘锦2

作者信息

  • 1. 210029中国江苏省南京市,南京医科大学附属眼科医院住院部
  • 2. 210011 中国江苏省南京市,南京医科大学第二附属医院眼科
  • 折叠

摘要

Abstract

•AIM:To compare the effectiveness and outcome of two different methods for removing metal foreign bodies and rust rings from cornea. <br> •METHODS:Forty outpatients with cornea metal foreign body injuries were recruited. They were divided into two groups according to the methods used to remove the foreign body and the rust ring ( group 1 using needle +forceps; group 2 using needle only ) . The effectiveness and outcome were compared across groups in term of the duration of the surgery, pain scores, and the recovery of epithelial damage, as well as the integrity of the removed rust rings, which was associated with the difficulty of the surgery.•RESULTS: In group 1, rust rings were removed readily in one piece in one or two attempts, while in group 2, the rings were broken into several pieces before they were totally removed. The averaged surgery duration for patients in group 1 was 1. 9min(37. 3%) shorter than that in group 2 (P<0. 001). The pain score of group 1 was also significantly lower than that of group 2 during and 1d after the surgery. In group 1, a full recovery of the corneal epithelium, indicated by negative fluorescent staining, was seen in 80% of cases 1d after the surgery, while in group 2, this was only 55%.•CONCLUSION: The method in group 1 is easier to perform and results in better outcomes than the conventional method in group 2 for removing the rust rings formed by corneal metal foreign bodies.

关键词

角膜金属异物/锈环/取出/上皮愈合

Key words

metal corneal foreign body/rust ring/removal/epithelial healing

引用本文复制引用

张舒,曹国凡,刘锦..取出角膜金属异物和锈环的改良方法[J].国际眼科杂志,2016,16(12):2180-2183,4.

国际眼科杂志

OACSTPCD

1672-5123

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