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伴球内异物的开放性眼外伤早期行玻璃体手术的疗效观察

汪方 刘勇 吴楠 王一

局解手术学杂志2017,Vol.26Issue(3):193-196,4.
局解手术学杂志2017,Vol.26Issue(3):193-196,4.DOI:10.11659/jjssx.10E016065

伴球内异物的开放性眼外伤早期行玻璃体手术的疗效观察

Clinical observation of early vitrectomy for open globe injuries with intraocular foreign bodies

汪方 1刘勇 1吴楠 1王一1

作者信息

  • 1. 第三军医大学西南医院眼科,重庆400038
  • 折叠

摘要

Abstract

Objective To evaluate the clinical effect of vitrectomy for open globe injuries with intraocular foreign bodies in 48 hours after injury.Methods Retrospective analysis was used to evaluate the patients with open globe injuries (OGIs) accompanied by intraocular foreign bodies (IOFB) who underwent vitrectomy of pars plana vitrectomy (PPV) within 48 hours during the period from January 1,2009 to March 1,2015 in our hospital.Results Among the 56 eyes,16 eyes with intraocular foreign bodies occurred endophthalmitis,while the other 40 eyes did not;the intraocular foreign bodies removal rate was 100%.Among all the patient eyes,52 eyes were saved after surgery,while 4 eyes failed.The pars plana vitrectomy operation ratio of the intraocular foreign bodies patients with endophthalmitis and operated within 24 to 48 hours was 2.09 times than that within 24 hours.There was no significant difference in terms of eye preservation,one time of retinal reposition and abnormal intraocular pressure no matter the PPV surgery was conducted within 24 hours or 24 to 48 hours after injury.Conclusion Early vitrectomy is a safe and effective method for the treatment of open globe injuries with intraocular foreign bodies.

关键词

早期玻璃体手术/球内异物/眼内炎/开放性眼外伤

Key words

early vitrectomy/intraocular foreign bodies/endophthalmitis/open globe injuries

分类

医药卫生

引用本文复制引用

汪方,刘勇,吴楠,王一..伴球内异物的开放性眼外伤早期行玻璃体手术的疗效观察[J].局解手术学杂志,2017,26(3):193-196,4.

局解手术学杂志

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1672-5042

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