CAJ | 학술논문

目的:探讨联合手术治疗外伤性白内障的疗效.方法:角巩膜裂伤清创缝合、白内障摘除、人工晶状体植入、玻璃体切除联合手术治疗外伤性白内障73例(73眼).结果:患者73例中,眼球钝挫伤27例,穿通伤46例,术后 3mo矫正视力 < 0.05者5例 (7%) , 0.05～0.3者17例 (23%) , >0.3者49例 ( 67%),手术脱盲率为 93%,2例(3%)眼球萎缩,平均随访时间7.8(3~15)mo.结论:掌握好联合手术的适应证,合理设计手术方式,巧妙地处理并发症,可以最大限度恢复患者的最佳视力.
목적:탐토연합수술치료외상성백내장적료효.방법:각공막렬상청창봉합、백내장적제、인공정상체식입、파리체절제연합수술치료외상성백내장73례(73안).결과:환자73례중,안구둔좌상27례,천통상46례,술후 3mo교정시력 < 0.05자5례 (7%) , 0.05～0.3자17례 (23%) , >0.3자49례 ( 67%),수술탈맹솔위 93%,2례(3%)안구위축,평균수방시간7.8(3~15)mo.결론:장악호연합수술적괄응증,합리설계수술방식,교묘지처리병발증,가이최대한도회복환자적최가시력.
·AIM: To study the therapeutic effect of surgical treatment for traumatic cataract.·METHODS: Seventy-three cases(73 eyes) traumatic cataract were performed multi-operation combined cataract extraction, including insertion of a capsular tension ring(CTR), vitreoretinal surgery, ocular foreign body extraction and intraocular lens(IOL) implantation.·RESULTS: Of 73 patients, twenty-seven cases were blunt trauma, while 46 cases were penetrating injuries. Three months after surgery, the final best spectacle-corrected visual acuity(BSCVA) in 5 patients (7%) were 0.05 or less, seventeen(23%) 0.05 to 0.3, while 49(67%) 0.3 or more. There were 93% cases relieved from blindness. Atrophy of eyeball occurred in two cases(3%). Mean follow-up time was 7.8(range 3-15) months.·CONCLUSION: Useful vision can be restored in a proportion of traumatic cataracts after prompt and rational surgical intervention as well as appropriate treatment of sight-threaten complications.