Objective To evaluate the efficacy of vitrectomy combined with giant intraocular foreign body removal through the corneal limbus; to analyze the relevant factors. Methods The clinical data of 5 patients (5 eyes) with giant intraocular foreign bodies who were treated from 2008 to 2013 were analyzed retrospectively. Four patients were males and 1 patient was a female. The preoperative visual acuity ranged from light perception to 0.1. Intraocular pressure ranged from 5 to 24 mmHg. All patients underwent vitrectomy combined with giant intraocular foreign body removal through the corneal limbus. All 5 eyes had retinal detachment preoperatively. One eye was filled with C3F8 and silicone oil was injected in 4 eyes during the surgery. The mean follow-up was 2.5 years with a range from 1 to 5 years. Results The giant intraocular foreign bodies were extracted successfully in all 5 eyes. Postoperative visual acuity increased in the 5 eyes. Intraocular pressure was 10 to 21 mmHg. The retina was attached in all eyes postoperatively. Postoperative complications included temporary intraocular pressure elevation in 1 eye, fibrosis exudates in the anterior chamber of 2 eyes, and slight vitreous hemorrhage in 1 eye. Conclusion Vitrectomy combined with giant intraocular foreign body removal through the corneal limbus is a safe and effective method. An appropriate surgical technique should be chosen according to the shape and size of the intraocular foreign body.
范玲玲,颜华. 玻璃体切除手术联合角巩膜缘切口摘除眼内巨大异物[J]. 中华眼视光学与视觉科学杂志, 2015, 17(2): 73-75.
Fan Lingling,Yan Hua. Vitrectomy combined with giant intraocular foreign body removal through the corneal limbus. Chinese Journal of Optometry Ophthalmology and Visual science, 2015, 17(2): 73-75. DOI: 10.3760/cma.j.issn.1674-845X.2015.02.003
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