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
2012年
3期
173-175
,共3页
房建壮%尹彩芳%袁文晓%姜丽平
房建壯%尹綵芳%袁文曉%薑麗平
방건장%윤채방%원문효%강려평
眼外伤%虹膜损伤%瞳孔成形术%视力
眼外傷%虹膜損傷%瞳孔成形術%視力
안외상%홍막손상%동공성형술%시력
Eye injury%Iris trauma%Iridoplasty%Visual acuity
目的 探讨瞳孔成形术在合并虹膜损伤的外伤性白内障中的临床应用效果.方法 对34例虹膜根部离断、瞳孔缘裂伤、虹膜萎缩的眼外伤患者,在植入人工晶状体的同时,用10 -0聚丙烯缝线虹膜缝合复位、瞳孔成型或植入带虹膜隔人工晶状体.结果 术后视力0.05～0.1者6例,0.2～0.5者24例,≥0.6者4例.修复后瞳孔接近正常者24例,占70.6％.结论 在复合性眼外伤中,行白内障摘出的同时修复损伤的虹膜,可起到改善瞳孔外观和提高视力的作用,但手术操作较复杂.
目的 探討瞳孔成形術在閤併虹膜損傷的外傷性白內障中的臨床應用效果.方法 對34例虹膜根部離斷、瞳孔緣裂傷、虹膜萎縮的眼外傷患者,在植入人工晶狀體的同時,用10 -0聚丙烯縫線虹膜縫閤複位、瞳孔成型或植入帶虹膜隔人工晶狀體.結果 術後視力0.05～0.1者6例,0.2～0.5者24例,≥0.6者4例.脩複後瞳孔接近正常者24例,佔70.6％.結論 在複閤性眼外傷中,行白內障摘齣的同時脩複損傷的虹膜,可起到改善瞳孔外觀和提高視力的作用,但手術操作較複雜.
목적 탐토동공성형술재합병홍막손상적외상성백내장중적림상응용효과.방법 대34례홍막근부리단、동공연렬상、홍막위축적안외상환자,재식입인공정상체적동시,용10 -0취병희봉선홍막봉합복위、동공성형혹식입대홍막격인공정상체.결과 술후시력0.05～0.1자6례,0.2～0.5자24례,≥0.6자4례.수복후동공접근정상자24례,점70.6％.결론 재복합성안외상중,행백내장적출적동시수복손상적홍막,가기도개선동공외관화제고시력적작용,단수술조작교복잡.
Objective To explore the effect of iridoplasty on cataract surgery in traumatic cataract with iris injury.Methods Iridoplasty combined with cataract extraction and intraocular lens implantation were performed on 34 cases of traumatic cataract with iris trauma:iridodialysis,iris dehiscence or iris atrophy.Results Postoperative visual acuity were 0.05 ～ 0.1 in 6 eyes,0.2 ～ 0.5 in 24 eyes,0.6 or better in 4 eyes.Pupils of 24 eyes had been closed to normal postion (70.6％).Conclusion The iridoplasty was necessary and important in intraocular lens implant surgery in those cases with serious iris and lens injury.
