The management of surgery and the complications on non-magnetic intraocular foreign bidies in posterior segment

于健   黄晓环   吴京   宗建华   张庆华

南方医科大学南方医院眼科   510515

Objectives： To summarize vitrectomy effects and management of the complications of ocular foreign bodies in the posterior segment.Methods 23 cases with foreign bodies in the posterior segment with vitreous surgery followed from 6 month to 3 years.The procedure was by pars plano vitrectomy with special forceps，retinal photocoagulation and inert gases or silicone oil filled were almost managed.The visual outcome and fundus changes were studied.

Results:The foreign bodies in the posterior segment were successfully removed in all cases.After 6 month to 3 years of the follow-up，the data were shown that the best correction visual acuity of 13 cases improved beyond 0.05，including 8 cases above 0.1 and 3 cases above 0.5.There were 7 cases remained the same and 4 cases decreased in BCVA post-operation.The retinal detachment occurred in two cases after operation and cure with the scleral buckling and vitrectomy.

Conclusions:The vitrectomy is a safe，effective surgery to treat the foreign bodies in posterior segment.The opportunity of surgery was important to save the visual functions and to reduce complications.