CAJ | 학술논문

目的探讨白内障超声乳化吸除人工晶状体植入术后盲与低视力的原因,进一步提高白内障手术疗效及降低医疗纠纷的风险.方法手术3个月后复查时检测视力和矫正视力,并进行详细、全面地眼科检杳,分析总结96例96只眼白内障术后盲与低视力的原因,结果白内障术后盲12例12只眼,一级低视力38例38只眼,二级低视力46例46只眼,导致盲与低视力的原因主要原因,为术前存在的影响视力恢复的眼部疾患,其中术前已经发现72例72只眼,术后才发现8例8只眼,与手术中并发症有关5例5只眼,后发性白内障9例9只眼,其他2例2只眼.结论随着超声乳化手术技术的提高,术后视力恢复主要取决于玻璃体、视网膜视神经病变,对术前存在这些病变的白内障患者进行复明手术仍有意义,但术前告知病情、与患者良好沟通对降低术后纠纷风险十分重要.
목적 탐토백내장초성유화흡제인공정상체식입술후맹여저시력적원인,진일보제고백내장수술료효급강저의료규분적풍험.방법 수술3개월후복사시검측시력화교정시력,병진행상세、전면지안과검묘,분석총결96례96지안백내장술후맹여저시력적원인,결과백내장술후맹12례12지안,일급저시력38례38지안,이급저시력46례46지안,도치맹여저시력적원인주요원인,위술전존재적영향시력회복적안부질환,기중술전이경발현72례72지안,술후재발현8례8지안,여수술중병발증유관5례5지안,후발성백내장9례9지안,기타2례2지안.결론 수착초성유화수술기술적제고,술후시력회복주요취결우파리체、시망막시신경병변,대술전존재저사병변적백내장환자진행복명수술잉유의의,단술전고지병정、여환자량호구통대강저술후규분풍험십분중요.
Objective To explore the major causes of blindness and low vision after phacoemulsifica-tion and intraocular lens implantation.Methods The visual acuity and corrected vision of 96 cases (96 eyes)3 months after the operations were recorded, and the main cause of blindness and low vision was analyzed.Re-sults 12 cases(12 eyes)got blindness after the operation, 38 cases (38 eyes)had the first grade low vision, 46 cases(46 eyes)had the second grade low vision.In 80 cases( 80 eyes)the major factors of blindness and low vi-sion were eye diseases existed before the operation.72 cases (72 eyes)were diagnosed before the operation, an-other 8 cases diagnosed after the operation.5 cases(5 eyes)were related to complications.9 cases(9 eyes)were caused by the posterior capsular opacification, and other causes 2 cases ( 2 eyes ).Conclusion With the techni-cal development of phacoemulsification, the recovery of acuity after operation depends on the condition of reti-na,optic nerve and vitreous body.The operation is still meaningful to the cases with eye discasc existed before operation, but the negotiation with the patients before operation is necessary and important to lower the risk of conflict.