CAJ | 학술논문

目的分析外伤性白内障手术治疗的临床效果,探讨人工晶状体(IOL)植入时机.方法外伤性白内障116例(116眼).Ⅰ期行IOL植入79例,Ⅱ期IOL植入37例.结果 Ⅰ期和Ⅱ期IOL植入者手术后视力均明显提高,两者术后视力提高程度的差异无统计学意义(P＞0.05);Ⅰ期IOL植入者术后的葡萄膜炎、角膜水肿、IOL前膜及后囊浑浊并发症明显多于Ⅱ期IOL植入者,差异有统计学意义(P＜0.01).结论 IOL植入是治疗外伤性白内障、恢复视力唯一有效的方法,Ⅰ期IOL植入虽然术后并发症多于Ⅱ期,经过治疗对术后的视力无影响,并且避免了二次手术.
목적 분석외상성백내장수술치료적림상효과,탐토인공정상체(IOL)식입시궤.방법 외상성백내장116례(116안).Ⅰ기행IOL식입79례,Ⅱ기IOL식입37례.결과 Ⅰ기화Ⅱ기IOL식입자수술후시력균명현제고,량자술후시력제고정도적차이무통계학의의(P＞0.05);Ⅰ기IOL식입자술후적포도막염、각막수종、IOL전막급후낭혼탁병발증명현다우Ⅱ기IOL식입자,차이유통계학의의(P＜0.01).결론 IOL식입시치료외상성백내장、회복시력유일유효적방법,Ⅰ기IOL식입수연술후병발증다우Ⅱ기,경과치료대술후적시력무영향,병차피면료이차수술.
Objective To analysis the clinical effect of surgical treatment for traumatic cataract,explore the appropriate time for intraocular lens (IOL) implantation.Methods The clinical data of 116 cases (116 eyes) of surgical treatment for traumatic cataract were retrospectively analyzed,79 eyes had been implantated IOL,the other 37 eyes received secondary implantation.Results Both of the visual acuity of the patients by primary and secondary implantation were improved in evidence,but there were no change in ejection fraction between primary and secondary implantation (P ＞ 0.05 ).In primary implantation,the postoperative complications included uveitis,corneal bedewing,exudative membrane of IOL and opacity of post capsula,which were apparently higher than secondary implantation,with significant difference between each other (P ＜ 0.01 ).Conclusion IOL implantation is the only effective means of treatment for traumatic cataract and vision recovery.Though the postoperative complications of primary implantation is more than secondary implantation,it makes no difference to the vision after treatment,prevents the two-stage operation.