CAJ | 학술논문

目的评价玻璃体腔内超声乳化治疗晶状体后脱位的疗效.方法选取2007年11月至2009年11月,18例(18只眼)因眼伤或白内障摘除术中后囊破裂晶状体核脱位于玻璃体腔的患者,应用标准睫状体扁平部闭合式三切口,先行全玻璃体切除术,再采用去硅胶袖套的超声乳化头乳化摘除脱位的晶状体,并根据病情行眼内异物取出术、视网膜激光光凝术等.术后观察视力、眼压、视网膜、巩膜伤口等恢复情况.结果在没有使用全氟化碳(重水)的情况下,所有晶状体均成功摘除,没有发生严重的并发症.13只眼术后视力不同程度提高,其余5例保持不变;术前合并继发性青光眼的6例患者,术后眼压控制良好;术前合并球内异物的3例均成功取出异物;视网膜、巩膜无明显医源性损伤.结论玻璃体腔内超声乳化联合玻璃体切割治疗晶状体后脱位疗效好,具有方便、快捷、不需应用重水的特点.超声乳化头可以代替超声粉碎头用于晶状体脱位于玻璃体腔的治疗.
목적 평개파리체강내초성유화치료정상체후탈위적료효.방법 선취2007년11월지2009년11월,18례(18지안)인안상혹백내장적제술중후낭파렬정상체핵탈위우파리체강적환자,응용표준첩상체편평부폐합식삼절구,선행전파리체절제술,재채용거규효수투적초성유화두유화적제탈위적정상체,병근거병정행안내이물취출술、시망막격광광응술등.술후관찰시력、안압、시망막、공막상구등회복정황.결과 재몰유사용전불화탄(중수)적정황하,소유정상체균성공적제,몰유발생엄중적병발증.13지안술후시력불동정도제고,기여5례보지불변;술전합병계발성청광안적6례환자,술후안압공제량호;술전합병구내이물적3례균성공취출이물;시망막、공막무명현의원성손상.결론 파리체강내초성유화연합파리체절할치료정상체후탈위료효호,구유방편、쾌첩、불수응용중수적특점.초성유화두가이대체초성분쇄두용우정상체탈위우파리체강적치료.
Objective To evaluate the effect of phacoemulsification to remove the dislocated lens in vitreous cavity. Methods Between November 2007 and November 2009, the authors studied retrospectively 18 cases (18 eyes) with posterior dislocation lens because of ocular trauma or cataract surgery, and underwent phaco devoid the silicone sleeve combined the total pars plana vitrectomy. According to different cases, extraction of foreign body and coagulation of retina laser were chosen after lens was removed. The main outcome measures were visual acuity, intraocular pressure, retina and sclera healing post-operation. Results All dislocated lenses were successfully removed without perfluorocarbon. No complications occurred during phacoemulsification. Visual acuity (with glasses correction) improved in 13 eyes (72.2%) and was unchanged in remain 5 eyes. Secondary glaucoma in 6 eyes was corrected and the foreign body in 3 eyes was extracted postoperation. There was no retinal detachment, retinal hemorrhage and sclera burning. Conclusions We can use the phaco probe devoid of the silicone sleeve to remove the dislocation lens in vitreous cavity without phacofragmentation. This way is effective, easy and dose not need the perfluorocarbon injection.