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    管莉娜, 刘海洋, 周雷, 张正培, 李甦雁. 玻璃体切除术摘出眼内异物的临床特点及视力预后分析[J]. 徐州医科大学学报, 2017, 37(12): 856-859.
    引用本文: 管莉娜, 刘海洋, 周雷, 张正培, 李甦雁. 玻璃体切除术摘出眼内异物的临床特点及视力预后分析[J]. 徐州医科大学学报, 2017, 37(12): 856-859.
    GUAN Lina, LIU Haiyang, ZHOU Lei, ZHANG Zhengpei, LI Suyan. Vitrectomy for intraocular foreign bodies: clinical characteristics and visual prognosis[J]. Journal of Xuzhou Medical University, 2017, 37(12): 856-859.
    Citation: GUAN Lina, LIU Haiyang, ZHOU Lei, ZHANG Zhengpei, LI Suyan. Vitrectomy for intraocular foreign bodies: clinical characteristics and visual prognosis[J]. Journal of Xuzhou Medical University, 2017, 37(12): 856-859.

    玻璃体切除术摘出眼内异物的临床特点及视力预后分析

    Vitrectomy for intraocular foreign bodies: clinical characteristics and visual prognosis

    • 摘要: 目的总结经玻璃体切除术取出的眼内异物临床特点,分析影响视力预后的因素。方法回顾分析2012年3月—2015年12月,我院收治的经玻璃体切除术取出眼内异物的患者76例(76眼),总结其性别、年龄、伤口位置、异物性质及位置、外伤至手术间隔时间、最佳矫正视力、并发玻璃体积血、白内障、视网膜脱离及眼内炎等临床特点。采用Logistic回归模型,分析伤口位置、异物位置、并发视网膜脱离、并发眼内炎及异物存留时间对视力恢复的影响。结果该类病例占我院同期眼外伤住院患者的12.41%,男、女比例为11.67∶1。平均年龄(41.45±15.384)岁。平均最佳矫正视力由术前(1.513 9±1.063)LogMAR提高到术后(0.931 6±0.793)LogMAR,差异有统计学意义(t=3.762,P=0.000)。并发视网膜脱离是影响术后视力提高的主要因素(P=0.006)。结论玻璃体切除术取出后段眼内异物安全有效,并发视网膜脱离是影响术后视力的主要因素。

       

      Abstract: Objective To analyze the clinical characteristics of patients with intraocular foreign bodies (IOFBs) and analyze the factors influencing visual prognosis. MethodsA total of 76 eyes from 76 patients with IOFBs who were admitted into our hospital from March 2012 to December 2015 were collected and analyzed retrospectively. Factors including gender, age, injury site, the property and location of forgein body, the interval between the injury and surgery, the best corrected visual acuity (BCVA), and complications such as vitreous hemorrhage, cataract, retinal detachment and endophthalmitis were evaluated. The association between visual outcome and injury site, the location of IOFBs, retinal detachment, endophthalmitis and the effects of IOFBs on visual overcome were statistically analyzed. ResultsThere was 12.41% of inpatients with ocular traumas who suffered from IOFBs. The ratio of men to women was 11.67∶1, with the mean age of (41.45±15.384) years. The BCVA was (1.513 9±1.063) LogMAR before surgery and increased to (0.931 6±0.793) LogMAR, which was statistcal different (t=3.762, P=0.000). The presence of retinal detachment was the main factor that influences visual prognosis (P=0.006). ConclusionVitrectomy is a feasible, effective approach in the surgical management of IOFBs. The presence of retinal detachment was the main factor that influences visual prognosis.

       

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