在为外国身体与 endophthalmitis 联系了的金属性的 intraocular 的同等 plana vitrectomy 的 Endotamponades

• 作者: and Xi Ying Nan Wu Rui Wang Shao-Jun Chen Xiao-Yong Huang Xing-Li Wang Yi Wang
• 来源期刊: 国际眼科杂志：英文版
• 学科: 医学
• 关键词: ENDOPHTHALMITIS INTRAOCULAR foreign body open globe INJURY TRAUMA VITRECTOMY endotamponade
• 年，卷（期）: 2011,（1）
• 页码范围: 95-99
• 页数: 5页
• 分类号: R779.6

摘要

AIM:To study the criterion-reference of endotamponades in pars plana vitrectomy for metallic intraocular foreign body(MIOFD) associated with endophthalmitis.· METHODS:Thirty-six patients of MIOFD with endophtha-lmitis accorded with exclusion and inclusion criteria were retrospectively analyzed.A detailed analysis of the patients’ natural factors,preoperative examinations,intraoperative endotamponades choice,postoperative complications and therapeutic effects was performed.· RESULTS:BSS was used in 4 eyes without obvious retinal damage.There was no postoperative complication and their visual acuity(VA) was improved.Sixteen eyes that had mild retinal damage filled with C3F8 gas.The postoperative VA improved in 10 eyes(62.5%),4 eyes(25.0%) remained unchanged and 2 eyes(12.5%) decreased.Only 2 cases occurred postoperative retinal detachment in gas group.Another 16 eyes with serious retinal damage were treated with silicone oil.Postoperative VA of 9 eyes(56.3%) improved,3 eyes(18.8%) remained unchanged and 4 eyes(25.0%) decreased.The silicone oil group had higher incidence of postoperative complications,but the incidence of secondary treatment had no significant different between silicone oil and gas group.· CONCLUSION:An appropriate choice of endotamponades in vitrectomy surgery for MIOFB with endophthalmitis is important for prognosis.