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目的 分析球旁注射针头误刺入眼内的症状、临床表现 ,探讨其防治方法。方法 对12例球旁注射针头误刺入眼内的临床表现和疗效进行回顾性分析。其中 1例为普通 5号齿科长针头 ,11例使用一次性注射器针。 2例为手术前球旁注射局部麻醉药物者 ,余均为球旁注射糖皮质激素和 (或 )抗生素治疗的患者。结果 注射后临床表现 :急性视力下降、眼痛 ,玻璃体出血、玻璃体内残存的白色皮质激素、视网膜裂孔及脱离 ,高眼压或低眼压 ,白内障术后伤口裂开。治疗 :主要为玻璃体手术和修补伤口。术后视力≤ 0 0 5者 6例。结论 刺破眼球是球旁注射的严重并发症 ,重在预防。
Objective To analyze the symptoms and clinical manifestations of intra-ocular injection of needles by mistake and discuss the prevention and treatment methods. Methods Retrospective analysis was performed on the clinical manifestations and the curative effect of 12 cases of ball-injection needle misdirected into the eye. One of them was an ordinary 5-gauge long needle and 11 of them were disposable needles. Two patients were those who received local injection of local anesthesia before surgery, and the rest were all patients who received pituitary injection of glucocorticoid and / or antibiotics. Results Clinical manifestations after injection: acute visual acuity, eye pain, vitreous hemorrhage, residual corticosteroids in the vitreous, retinal breaks and detachment, ocular hypertension or ocular hypotension, and cataract surgery. Treatment: The main vitreous surgery and wound repair. Postoperative visual acuity ≤ 0 5 in 6 cases. Conclusion Punctured eyeball is a serious complication of ball injection, focusing on prevention.