CAJ | 학술논문

目的观察虹膜根部断离修复联合白内障超声乳化摘除人工晶状体植入手术的疗效.方法对65例(65只眼)外伤后虹膜根部断离伴白内障的患者进行虹膜根部断离修复联合白内障超声乳化摘除人工晶状体植入术.结果术前双瞳孔,D形瞳孔,不规则瞳孔等瞳孔恢复圆形,术后瞳孔完全恢复圆形36例占55.38%,椭圆形29例占44.62%,术后1周视力≥0.6者38只眼,占58.46%,术后2周视力≥0.6者46只眼,占70.77%.结论虹膜根部断离修复联合白内障超声乳化摘除人工晶状体植入术能改善和恢复瞳孔功能,提高视力,效果良好.
목적 관찰홍막근부단리수복연합백내장초성유화적제인공정상체식입수술적료효.방법 대65례(65지안)외상후홍막근부단리반백내장적환자진행홍막근부단리수복연합백내장초성유화적제인공정상체식입술.결과 술전쌍동공,D형동공,불규칙동공등동공회복원형,술후동공완전회복원형36례점55.38%,타원형29례점44.62%,술후1주시력≥0.6자38지안,점58.46%,술후2주시력≥0.6자46지안,점70.77%.결론 홍막근부단리수복연합백내장초성유화적제인공정상체식입술능개선화회복동공공능,제고시력,효과량호.
Objective To observe the effect of iridodialysis repairing combined with phacoemulsification and artificial implantation. Methods Sixty-five patients with iridodialysis and cataract were treated with iridodialysis repairing combined with phacoemulsification and artificial implantation. In the operation, sodium hyaluronate was injected into anterior chamber through clear corneal incision, the conjunctiva was open in iridodialysis, then the corneoscleral tunnel incision was made with 3.2mm tunnel knife under the guidance of gonioscope; the distal end of iridodialysis was aspirated to tunnel incision with needle and interrupted suture iris. 0.05ml epinephrine was injected into anterior chamber to achieve mydriasis after suture, capsulorhexis and chopped nucleus; then the cataract nucleus was emulsified with 45-50% energy and 80-100mmHg negative pressure; implanted the artificial lens. The pupillary change, postoperative visual acuity, reaction, complications and situation of medication were observed. Results The double pupil, D-shape pupil and irregular pupil restored to circle after operation. Thirty-eight eyes were restored to circular-shape pupil (55.38%) and 29 eyes to elliptical-shape pupil (44.62%). The corrected visual acuity ≥0.6 was in 38 eyes (58.46%) at one week after operation; the corrected visual acuity ≥0.6 was in 46 eyes (70.77%) at two weeks after operation. Conclusion The iridodialysis repairing combined with phacoemulsification and artificial implantation can improve and restore the pupil function, improve the visual acuity; and the effect is good.