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为探讨玻璃体切除联合视网膜切开在眼内异物取出术中的适应症，对眼内异物１７例（１７眼行经平坦部三切口的闭合式玻璃体切除术，眼内电凝，视网膜切开，分离、游离并取出嵌顿于球壁或视网膜下的异物，部分术前、术后光凝固定视网膜。结果眼内异物取出率１００％。１１例术后视力有不同程度的提高，５例视力下降，１例视力不变。术后玻璃体积血５例，视网膜脱离２例，结论：玻璃体切除联合视网膜切开术治疗后极部眼球内壁或视网膜下异物可提高异物取除的成功率，但要控制并发症。
In order to explore the indications of vitrectomy combined with retinal incision intraocular foreign body removal, 17 cases of intraocular foreign bodies (17 eyes underwent closed vitrectomy, intraocular coagulation, retinal incision and separation of three incisions through the flat part) , Free and remove the incarcerated in the ball wall or subretinal foreign body, part of the preoperative and postoperative photocoagulation of the retina.Results 100% removal of intraocular foreign body, 11 cases of postoperative visual acuity increased in varying degrees, 5 cases of decreased visual acuity , 1 case of unchanged vision.Postoperative vitreous hemorrhage in 5 cases, retinal detachment in 2 cases, Conclusion: vitrectomy combined with retinal detachment after the treatment of extreme eye wall or subretinal foreign body can improve the success rate of foreign body removal, but to Control complications.