中医眼耳鼻喉杂志2025，Vol.15Issue(4)：225-229,5.DOI:10.3969/j.issn.1674-9006.2025.04.009
105例眼后节异物伤患者临床特征及手术预后分析
The clinical characteristics and surgical prognosis of 105 patients with posterior intraocular foreign body injury
摘要
Abstract
Objective To study the clinical characteristics and prognosis of patients with posterior intraocular for-eign body injury who underwent minimally invasive vitrectomy(PPV)surgery.Methods A multicenter retrospective ob-servational study was conducted.A total of 105 patients(105 eyes)with posterior intraocular foreign body who under-went minimally invasive PPV were collected,and the age,gender,injured eye,injury characteristics and tissue involve-ment,the time from injury to hospitalization,and the time from injury to PPV,vitreous filling(silicone oil/C3F8),and surgical prognosis were recorded.Results ①All patients were monocular affected,male to female ratio was 12∶1,the av-erage age was 46.8±13.6 years old,patients under 18 years old were rare(1.9％).②Intraocular foreign bodies were mainly metallic foreign bodies(83.8％).The main type of trauma was penetrating injury(93.3％).The zone of trauma was mainly Zone 1(69.5％).The preoperative intraocular pressure was mostly normal(57.1％),with visual acuity mainly concentrated between light perception(LP)and 0.02(76.0％),but no light perception(NLP)was rare(1.0％).③Lens injury was the most common tissue involvement(73.3％),followed by anterior chamber/vitreous hemorrhage(52.4％)and retinal detachment(40.0％).Most patients were admitted within 24 hours(41.0％).PPV were mainly performed within 3 days(51.4％).④The rate of total cure was 92.4％,the rate of silicone oil filling was 37.1％,and the overall incidence of complications was 15.2％.Conclusion Posterior intraocular foreign body injuries exhibit distinct demographic characteristics and patterns of injury:they predominantly affect middle-aged males,but rarely in children and adolescents.They are mostly caused by high-speed metal foreign bodies resulting penetrating injuries in Zone 1,sugges-ting that occupational exposure is the main risk factor.They are often accompanied by lens damage,intraocular hemor-rhage,and retinal detachment,resulting in severe visual impairment but rarely in NLP eyes,and intraocular pressure is mostly normal.Early(≤3 days)minimally invasive PPV achieve favorable prognosis and has significant clinical applica-tion value,but strengthening labor safety protection is the key to prevention.关键词
眼外伤/眼内异物/临床特征/玻璃体切割手术/预后Key words
Ocular trauma/Intraocular foreign body/Clinical characteristics/Pars plana vitrectomy/Prog-nosis分类
医药卫生引用本文复制引用
曾仁攀,钱平,王丹玲,陈丽,陈彬,王国平..105例眼后节异物伤患者临床特征及手术预后分析[J].中医眼耳鼻喉杂志,2025,15(4):225-229,5.基金项目
1.武警部队某课题资助(ZZKY20222405) （ZZKY20222405）
2.乐山"嘉州英才培育计划"项目(乐人才办2021-5号) （乐人才办2021-5号）
