中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
6期
430-432
,共3页
前囊截囊%剪开法%晶状体半脱位%白内障手术%小切口%手法
前囊截囊%剪開法%晶狀體半脫位%白內障手術%小切口%手法
전낭절낭%전개법%정상체반탈위%백내장수술%소절구%수법
anterior capsulectomy%scission%lens subluxation%cataract surgery,small incision,manual
目的 探讨剪开法前囊截囊术在晶状体半脱位白内障囊外摘出术中应用的临床效果.方法 晶状体半脱位白内障23例(23眼).进行手法小切口白内障囊外摘出联合人工晶状体囊袋内植人术.术中采用剪开法进行前囊截囊.术后随诊6～24个月,平均10.5个月.结果 手术中均未出现晶状体脱离范围扩大或玻璃体脱出增加,术后最佳矫正视力≥1.0者2眼(8.70%),≥0.5者7眼(30.43%),<0.5者16眼中:2眼为视网膜色素变性、7眼为眼挫伤伴有不同程度的视网膜挫伤、2眼为外伤性视神经萎缩、2眼为玻璃体浑浊(陈旧血性)、1眼为外伤性黄斑孔、2眼为≥-10.00D高度近视.结论 应用剪开法前囊截囊术进行晶状体半脱位手法小切口白内障囊外摘出人工晶状体植入术是安全的,效果良好.
目的 探討剪開法前囊截囊術在晶狀體半脫位白內障囊外摘齣術中應用的臨床效果.方法 晶狀體半脫位白內障23例(23眼).進行手法小切口白內障囊外摘齣聯閤人工晶狀體囊袋內植人術.術中採用剪開法進行前囊截囊.術後隨診6～24箇月,平均10.5箇月.結果 手術中均未齣現晶狀體脫離範圍擴大或玻璃體脫齣增加,術後最佳矯正視力≥1.0者2眼(8.70%),≥0.5者7眼(30.43%),<0.5者16眼中:2眼為視網膜色素變性、7眼為眼挫傷伴有不同程度的視網膜挫傷、2眼為外傷性視神經萎縮、2眼為玻璃體渾濁(陳舊血性)、1眼為外傷性黃斑孔、2眼為≥-10.00D高度近視.結論 應用剪開法前囊截囊術進行晶狀體半脫位手法小切口白內障囊外摘齣人工晶狀體植入術是安全的,效果良好.
목적 탐토전개법전낭절낭술재정상체반탈위백내장낭외적출술중응용적림상효과.방법 정상체반탈위백내장23례(23안).진행수법소절구백내장낭외적출연합인공정상체낭대내식인술.술중채용전개법진행전낭절낭.술후수진6～24개월,평균10.5개월.결과 수술중균미출현정상체탈리범위확대혹파리체탈출증가,술후최가교정시력≥1.0자2안(8.70%),≥0.5자7안(30.43%),<0.5자16안중:2안위시망막색소변성、7안위안좌상반유불동정도적시망막좌상、2안위외상성시신경위축、2안위파리체혼탁(진구혈성)、1안위외상성황반공、2안위≥-10.00D고도근시.결론 응용전개법전낭절낭술진행정상체반탈위수법소절구백내장낭외적출인공정상체식입술시안전적,효과량호.
Objective To study the clinical efficacy of the application of anterior capsulectomy by scission in extracapsular cataract extraction (ECCE) for patients with lens subluxation. Methods 23 cases (23 eyes) with lens subluxation and cataract were treated by small incision ECCE combined with intraocular lens( IOL) implantation surgery. The scission was applied in anterior capsulectomy during operation. The cases were followed up for 6～24 months, 10.5 months in average. Results There were no expansion of lens detachment or increasement of vitreous prolapse during operation. The best corrected visual acuity (BCVA) of those cases were: 2 eyes ( 8. 70 % ) no less than 1.0,7 eyes ( 30. 43 % ) no less than 0. 5 and 16 eyes less than 0.5. Of those 16 eyes with BCVA worse than 0. 5,2 eyes were retinitis pigmentosa,7 eyes were ocular contusion combined with different degrees of retinal contusion, 2 eyes were traumatic optic nerve atrophy, 2 eyes were vitreous opaque ( obsolete hemorrhagic ) , 1 eye was traumatic macular hole and 2 eyes were high myopia( - 10.00 diopters or higher). Conclusion The application of anterior capsulectomy by scission is safe and satisfactory in small incision ECCE combined with IOL implantation surgery for lens subluxation.
