CAJ | 학술논문

目的评价瞳孔成形术在眼外伤修复中的作用.方法回顾性分析我院自2011年2月至2012年2月诊治的伴有虹膜瞳孔损伤的18例(18眼)临床资料.均为眼外伤导致的伴有虹膜瞳孔异常的白内障、晶状体脱位患者,并行瞳孔成形联合白内障摘出人工晶状体植入和(或)前段玻璃体切除术.术后随访2～6个月.结果术后18眼视力均提高；患眼瞳孔呈圆形或类圆形,瞳孔位于中央或近中央16眼,瞳孔偏位2眼.术中前房积血2眼；术后曾有眼压升高6眼.结论瞳孔成形术能够恢复虹膜完整性,提高视力和视觉质量,减少并发症的发生,在眼外伤修复中具有重要作用.
목적 평개동공성형술재안외상수복중적작용.방법 회고성분석아원자2011년2월지2012년2월진치적반유홍막동공손상적18례(18안)림상자료.균위안외상도치적반유홍막동공이상적백내장、정상체탈위환자,병행동공성형연합백내장적출인공정상체식입화(혹)전단파리체절제술.술후수방2～6개월.결과 술후18안시력균제고；환안동공정원형혹류원형,동공위우중앙혹근중앙16안,동공편위2안.술중전방적혈2안；술후증유안압승고6안.결론 동공성형술능구회복홍막완정성,제고시력화시각질량,감소병발증적발생,재안외상수복중구유중요작용.
Objective To evaluate the effect of coreoplasty in ocular injury.Methods In this retrospective study,18 eyes of 18 patients with pupil abnormality,cataract and lens luxation caused by ocular injury were treated by coreoplasty combined with IOL implantation and/or anterior segment vitrectomy from February 2011 to February 2012 in our hospital.All patients were followed up for two months to six months.Results Visual acuity improved in 18 eyes postoperatively.The pupils of all patients were round or nearly round.The pupils of 16 eyes were at center or nearly central position,and deviated in 2 eyes.Hyphema occurred in 2 eyes intraoperatively.Intraocular pressure increased postoperatively in 6 eyes.Conclusions The coreoplasty not only recovered the integrity of iris,but also improved visual acuity and visual quality,and decreased the complication.The coreoplasty played an important role in ocular injury repair.