目的：探讨巩膜扣带术结合23G玻璃体切割术对眼球内异物伴视网膜脱离的治疗效果。

方法：将2014-01/2018-01收治的72例眼球内异物伴视网膜脱离患者以随机数字表法分为对照组36例和观察组36例，对照组行23G玻璃体切割术，观察组在对照组基础上行巩膜扣带术，观察两组术前、硅油取出3mo后眼压及视力变化、复位成功、复发情况及术后并发症发生情况。

结果：术前两组眼压及BCVA均无差异(P>0.05)，硅油取出后3mo，两组眼压及BCVA均较术前有明显改善(P<0.05)，两组组间无差异(P>0.05)； 观察组与对照组一次手术解剖复位成功率分别为97%、81%(P<0.05)，观察组与对照组复发率分别为6%、25%(P<0.05)； 观察组术后并发症发生率为22%，对照组31%(P>0.05)。

结论：巩膜扣带术联合23G玻璃体切割术治疗眼球内异物伴视网膜脱离，可显著改善患者眼压及视力，提高复位成功率，减少复发，且安全性较高。

METHODS: Totally 72 cases of patients with intraocular foreign bodies and retinal detachment admitted from January 2014 to January 2018 were selected and divided into the control group(36 cases)and the observation group(36 cases)by random number table method. The patients in the control group were treated with 23G vitrectomy surgery while patients in the observation group were treated with scleral buckling surgery on the basis of the treatment in the control group. The changes of intraocular pressure(IOP)and visual acuity, successful reset, recurrence and complications were observed before operation and 3mo after silicone oil was removed.

RESULTS: There was no difference in IOP and BCVA between the two groups before operation(P>0.05). Three months after silicone oil was removed, IOP and BCVA in two groups were significantly improved compared with those before operation(P<0.05). There was no difference between the two groups(P>0.05). The success rates of one-time anatomical reduction in the observation group and the control group were respectively 97% and 81%(P<0.05). The recurrence rates of the observation group and the control group were respectively 6% and 25%(P<0.05). The incidence of complications was 22% in the observation group and 31% in the control group(P>0.05).

CONCLUSION: The treatment of scleral buckling combined with 23G vitrectomy in the treatment of intraocular foreign body with retinal detachment can significantly improve the IOP and visual acuity of patients, improve the success rate of reduction, reduce recurrence, and have high safety.