CAJ | 학술논문

目的探讨应用晶体超声粉碎联合玻璃体切除术治疗有核外伤性晶状体脱位的疗效.方法回顾性分析了经晶体超声粉碎联合玻璃体切除手术治疗的有核外伤性晶状体脱位29例29只眼,其中全脱位12只眼,术前高眼压16只眼.行标准三通道玻璃体切除,切除前部、中轴部及晶状体周围玻璃体,无需使用过氟化碳液体,吸引晶状体至前部玻璃体腔内进行超声粉碎;不全脱位的晶状体采用囊内超声粉碎.术中检查视网膜并做相应处理.结果全部病例均完全将脱位的晶状体粉碎吸除,随访3月无视网膜脱离发生.21只眼术后眼压正常,6只眼I期植入人工晶状体.视力较术前明显改善.结论对于有核的晶状体脱位,超声粉碎联合玻璃体切除术安全有效、简便易行,术后并发症少,明显改善了预后.
목적 탐토응용정체초성분쇄연합파리체절제술치료유핵외상성정상체탈위적료효.방법 회고성분석료경정체초성분쇄연합파리체절제수술치료적유핵외상성정상체탈위29례29지안,기중전탈위12지안,술전고안압16지안.행표준삼통도파리체절제,절제전부、중축부급정상체주위파리체,무수사용과불화탄액체,흡인정상체지전부파리체강내진행초성분쇄;불전탈위적정상체채용낭내초성분쇄.술중검사시망막병주상응처리.결과전부병례균완전장탈위적정상체분쇄흡제,수방3월무시망막탈리발생.21지안술후안압정상,6지안I기식입인공정상체.시력교술전명현개선.결론 대우유핵적정상체탈위,초성분쇄연합파리체절제술안전유효、간편역행,술후병발증소,명현개선료예후.
Objective To evaluate the effect of phacofragmentation associated with vitrectomy in surgical treatment of traumatic nuclear lens dislocation.Methods The retrospective study was conducted to evaluate 29 eyes of nuclear lens dislocation caused by trauma,which underwent standard pars plana vitrectomy(PPV)with phacofragmentation without perfluorocarbon liquid(PFCL)in the midvitreal cavity.Twenty-one eyes of them were complete dislocation and 16 eyes had ocular hypertension preoperatively.At the end of surgery,carefully examination of the peripheral retina was carried out.Results Phacofragmentation was successful in all patients.No retina detachment occurred during 3 months follow-up.Intraocular pressure(IOP)was controlled efficiently in 21 eyes.An intraocular lens was implanted in first surgery of 6 eyes.Conclusions Phacofragmentation with PPV is the choice of removing traumatic dislocated lens.It is safe and effective with good visual outcome and scarce complication.