CAJ | 학술논문

目的:探求一种安全有效、并发症少且更适合眼外伤时晶状体玻璃体联合手术的晶状体切除术方式.方法:对27例(27眼)眼外伤行晶状体玻璃体联合手术者进行回顾性研究.所有患者均由睫状体平坦部巩膜切口行改良晶状体切除术,保留晶状体囊,并联合玻璃体视网膜手术.结果:所有患者均成功地切除了晶状体并最大限度保留有用的晶状体囊,患者术后视力均有不同程度的提高.继发性青光眼术后眼压得到控制.结论:该改良晶状体切除术是一种安全有效、并发症少且更适合眼外伤时晶状体玻璃体联合手术的手术方式.
목적:탐구일충안전유효、병발증소차경괄합안외상시정상체파리체연합수술적정상체절제술방식.방법:대27례(27안)안외상행정상체파리체연합수술자진행회고성연구.소유환자균유첩상체평탄부공막절구행개량정상체절제술,보류정상체낭,병연합파리체시망막수술.결과:소유환자균성공지절제료정상체병최대한도보류유용적정상체낭,환자술후시력균유불동정도적제고.계발성청광안술후안압득도공제.결론:해개량정상체절제술시일충안전유효、병발증소차경괄합안외상시정상체파리체연합수술적수술방식.
·AIM: To investigate a surgical method of modified lensectomy within combined lensectomy and vitrectomy surgery in traumatic eyes.·METHODS: Clinical records were studied retrospectively for a series of consecutive 27 traumatic patients who were performed vitrectomy combined with lensectomy surgery. A modified lensectomy through pars plana incision of sclera was performed to these cases and lens capsule was reserved. It was then combined with vitreous and retinal operations.·RESULTS: All lens were removed completely with lens capsule remained. All cases achieved improved visual acuity.Intraocular pressure (IOP) in all eyes was in normal range after surgery.·CONCLUSION: The modified lensectomy is a safe and effective surgery manner which has few complications and is more suitable for traumatic eyes in the combined lensectomy and vitrectomy surgery.KEYWORDS:ocular trauma; lensectomy; vitrectomy