Management of glass intraocular foreign bodies
Management of glass intraocular foreign bodies
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DOI：
10.1097/00006982-199803000-00004
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发表时间：
1998-01-01
影响因子：
3.3
通讯作者：
Mukesh, BN
中科院分区：
文献类型：
--
作者：
Gopal, L;Banker, AS;Mukesh, BN
目的：目的：探讨玻璃异物眼内异物的处理方法。方法：回顾性分析43例（51眼）玻璃异物眼内穿透伤患者的临床资料。总共有23.5%的IOFB仅在前段;其余的IOFB仅在后段或在前后段都有。6只眼保守随访，尽管IOFB在功能眼。结果：术后平均随访16.8个月，66.7%的患眼视力恢复到6/60（20/200）以上，75.6%的患眼视网膜脱离。单因素分析发现，巩膜入口伤口、后段IOFB、较大IOFB尺寸和视网膜损伤与解剖结果较差相关。较低的视力、前房出血、视网膜损伤、视网膜下出血、视网膜脱离和较大的IOFB与不良的功能结果相关。多变量分析确定了异物造成的视网膜损伤作为唯一的因素显着与不良的解剖以及功能outcome.Conclusions：玻璃IOFB是造成在大多数情况下的爆炸伤。双边合作并不罕见。视网膜损伤的存在预示着不良的功能和解剖结果。现代玻璃体视网膜手术技术的总体结果是适度的。
Purpose: To describe the results of management of glass intraocular foreign bodies (IOFBs).Methods: A total of 51 eyes of 43 patients that sustained penetrating injury with glass IOFB were studied retrospectively. A total of 23.5% had IOFB only in the anterior segment; the rest had IOFB in the posterior segment alone or in both the anterior and posterior segments. Six eyes were followed conservatively despite IOFB in a functional eye. Removal of IOFB was combined with repair of retinal detachment (where present) using internal tamponade with gas or silicone oil or buckle.Results: After a mean follow-up of 16.8 months, 66.7% of eyes recovered better than 6/60 (20/200) vision and 75.6% had attached retina. On univariate analysis, scleral entry wound, posterior segment IOFB, larger size of IOFB, and retinal damage were found to be associated with poor anatomic outcome. Lower presenting visual acuity, hyphema, retinal damage, subretinal hemorrhage, detached retina, and larger IOFB were associated with a poor functional result. Multivariate analysis identified retinal damage caused by the foreign body as the only factor significantly associated with poor anatomic as well as functional outcome.Conclusions: Glass IOFBs are caused in a majority of cases by blast injury. Bilaterality is not uncommon. Presence of retinal damage is predictive of poor functional and anatomic results. Overall results are modest with modern vitreoretinal surgical techniques.