眼球內異物之預後相關因子

Prognostic Factors Associated with Intraocular Foreign Body

洪啟庭(Chi-Ting Horng) ； 蔡明霖(Ming-Ling Tsai) ； 周秉義(Ping-I Chou)

《中華民國眼科醫學會雜誌》 39卷1期 (2000/03) Pp. 28-34

https://doi.org/10.30048/ACTASOS.200003.0005

摘要

本文報告本院自民國八十二年至民國八十七年（五年內），所收集31例（共計31眼）之眼球內異物之案例，平均追蹤時間至少六個月。分析異物之種類以金屬類最多，占約64.5%(20/31)。而異物最後之位置以在視網膜上最多，占約54.8%(17/31)。一旦受傷而發生眼球內異物時，約有64.5%的病人其視力小於6/10。眼球內異物之相關因子有異物進入的位置，異物最後停留的位置，異物之性質，初步處理之時效，與手術處理之方式等。統計治療六個月後之視力仍有部份案例（10例）未達6/60，探究其原因以發生增殖性玻璃體視網膜病變之比例最高（6例），占約60%。故如何預防併發症之產生與其後續問題之處置，亦為處理眼球內異物時之重要課題。

並列摘要

The records of 31 patients (31 eyes) with intraocular foreign bodies(IOFBs) between 1993 & 1998 were retrospectively reviewed. The average follow-up periods was six months. The IOFBs were metallic in 64.5% (20/31). The intra-retinal foreign bodies
(IRFBs) occured in 54.8%(17/31). The final visual acuity of most of the patients (about 64.5%) could not reach 6/10. The prognostic factors of IOFBs includes (1) the site of entry (2) the final location (3) the nature of material (4) the timing of initial treatment (5) the surgical technique. The most prevalent cause of poor vision is proliferative vitreoretinopathy (PVR) (about 60%). How to manage IOFBs and its complications is a delicate decision making.

並列關鍵字

intraocular foreign body IOFB ； intraretinal foreign body IRFB ； prognostic factor ； barrier laser photocoagulation