CAJ | 학술논문

目的研究前部玻璃体切割术在复杂前节手术中的作用.方法回顾性研究应用前部玻璃体切割术处理复杂前节手术并发症151例(151眼),均经角巩膜缘隧道切口行前部玻璃体切割,手术后定期复查患眼视力、最佳矫正视力,前节反应情况与人工晶体位置,玻璃体视网膜情况.结果 62服超声乳化术中后囊破裂经前部玻璃体切割处理均Ⅰ期植入后房型人工晶状体,最佳视力0.3～0.5者19例(19/62,30.64%),0.5～0.8者32例(51.61%,32/62),0.8以上11例(11/62,17.78%),16眼儿童后发性白内障经前部玻璃体切割处理11(11/16,68.75%)例视力提高,4例后发障复发(4/16,25%).前部玻璃体切割处理外伤性白内障,伴后囊破裂54例,49例(49/54,90.74%)植入人工晶状体,最佳视力0.1以下者3例(3/49,5.56%),0.1～0.3者6例(6/49,11.12%),0.3～0.5者17例(17/49,31.48%),0.5～0.8者15例(15/49,27.59%),0.8以上者8例(8/49,14.81%),伴中、重度晶状体脱位13例,均植入人工晶状体,视力0.1以下者2例(2/13,15.38%),0.1～0.3者3例(3/13,23.08%),0.3～0.8者7例(7/13,53.84%),0.8以上者1例(1/13,7.69%).结论前部玻璃体切割手术在处理复杂的前节手术及并发症方面具有一定的优越性.
목적 연구전부파리체절할술재복잡전절수술중적작용.방법 회고성연구응용전부파리체절할술처리복잡전절수술병발증151례(151안),균경각공막연수도절구행전부파리체절할,수술후정기복사환안시력、최가교정시력,전절반응정황여인공정체위치,파리체시망막정황.결과 62복초성유화술중후낭파렬경전부파리체절할처리균Ⅰ기식입후방형인공정상체,최가시력0.3～0.5자19례(19/62,30.64%),0.5～0.8자32례(51.61%,32/62),0.8이상11례(11/62,17.78%),16안인동후발성백내장경전부파리체절할처리11(11/16,68.75%)례시력제고,4례후발장복발(4/16,25%).전부파리체절할처리외상성백내장,반후낭파렬54례,49례(49/54,90.74%)식입인공정상체,최가시력0.1이하자3례(3/49,5.56%),0.1～0.3자6례(6/49,11.12%),0.3～0.5자17례(17/49,31.48%),0.5～0.8자15례(15/49,27.59%),0.8이상자8례(8/49,14.81%),반중、중도정상체탈위13례,균식입인공정상체,시력0.1이하자2례(2/13,15.38%),0.1～0.3자3례(3/13,23.08%),0.3～0.8자7례(7/13,53.84%),0.8이상자1례(1/13,7.69%).결론 전부파리체절할수술재처리복잡적전절수술급병발증방면구유일정적우월성.