CAJ | 학술논문

目的探讨超声生物显微镜( UBM)在挫伤性晶状体半脱位的诊断及治疗中的作用.方法回顾总结我院近3年来外伤所致的晶状体半脱位35例(35眼)的临床资料,应用UBM及裂隙灯显微镜检查方法对晶状体半脱位进行早期诊断,根据脱位的范围及并发症的情况,从而决定手术中采用晶状体超声乳化吸出联合IOL植入术、乳化吸IOL出植入术联合张力环植入术小梁切除术及前段玻璃体切除等手术方式.结果应用UBM能对早期的晶状体半脱位进行诊断,根据脱位程度及并发症的情况采取不同的手术方式,术后视力均有不同程度提高.结论 UBM有助于晶状体半脱位的早期诊断,有助于选择手术时机和手术方法.
목적 탐토초성생물현미경( UBM)재좌상성정상체반탈위적진단급치료중적작용.방법 회고총결아원근3년래외상소치적정상체반탈위35례(35안)적림상자료,응용UBM급렬극등현미경검사방법대정상체반탈위진행조기진단,근거탈위적범위급병발증적정황,종이결정수술중채용정상체초성유화흡출연합IOL식입술、유화흡IOL출식입술연합장력배식입술소량절제술급전단파리체절제등수술방식.결과 응용UBM능대조기적정상체반탈위진행진단,근거탈위정도급병발증적정황채취불동적수술방식,술후시력균유불동정도제고.결론 UBM유조우정상체반탈위적조기진단,유조우선택수술시궤화수술방법.
Objective To evaluate the effect of ultrasound biomicroscopy (UBM) on diagnosis and treatment of traumatic lens subluxation.Methods 35 patients (35 eyes) suffered with lens subluxation were studied in the past 3 years.All the patients underwent UBM examination.The degree and extent of lens luxation was measured to determine the operation procedure.The operation methods included phacoemulsification and intraocular lens implantation ( Phaco + IOL),phacoemulsification and intraocular lens implantation with tension ring implantation ( Phaco + IOL + TR),trabeculectomy and anterior vitrectomy,which was choosed depending on the traumatic starus.Results UBM examination is valuable for the early diagnosis of lens subluxation.According to lens subluxation and complications,we apply different surgical methods,postoperative visual acuity were improved.Conclusion UBM can help early diagnosis of subluxation of lens; UBM is a powerful means on surgical method and the timing of operation in lens subluxation.