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
2014年
9期
711-713
,共3页
白内障%不全脱位,晶状体%超声乳化%低能量
白內障%不全脫位,晶狀體%超聲乳化%低能量
백내장%불전탈위,정상체%초성유화%저능량
Cataract%Subluxation,lens%Phacoemulsification%Energy,low
目的 探讨晶状体不全脱位的行超声乳化人工晶状体植入术的手术技巧.方法 回顾性系统病例研究.晶状体不全脱位的白内障患者进行低能量超声乳化人工晶状体植入术16例(16眼),其病例资料进行分析.手术根据晶状体脱位情况,行低能量白内障超声乳化吸出+人工晶状体植入术或低能量白内障超声乳化吸出+囊袋张力环植入+人工晶状体植入术,出院后随访2～6月,平均(4.0±2.3)月.结果 16例术后裸眼视力及最佳矫正视力均较术前提高,术后眼压较术前明显下降,所有术眼人工晶状体位置居中,术后无晶状体脱位、眼压升高或玻璃体脱出等严重并发症.结论 晶状体不全脱位的白内障低能量超声乳化人工晶状体植入术,能减轻术后前房反应,减少并发症,效果良好.
目的 探討晶狀體不全脫位的行超聲乳化人工晶狀體植入術的手術技巧.方法 迴顧性繫統病例研究.晶狀體不全脫位的白內障患者進行低能量超聲乳化人工晶狀體植入術16例(16眼),其病例資料進行分析.手術根據晶狀體脫位情況,行低能量白內障超聲乳化吸齣+人工晶狀體植入術或低能量白內障超聲乳化吸齣+囊袋張力環植入+人工晶狀體植入術,齣院後隨訪2～6月,平均(4.0±2.3)月.結果 16例術後裸眼視力及最佳矯正視力均較術前提高,術後眼壓較術前明顯下降,所有術眼人工晶狀體位置居中,術後無晶狀體脫位、眼壓升高或玻璃體脫齣等嚴重併髮癥.結論 晶狀體不全脫位的白內障低能量超聲乳化人工晶狀體植入術,能減輕術後前房反應,減少併髮癥,效果良好.
목적 탐토정상체불전탈위적행초성유화인공정상체식입술적수술기교.방법 회고성계통병례연구.정상체불전탈위적백내장환자진행저능량초성유화인공정상체식입술16례(16안),기병례자료진행분석.수술근거정상체탈위정황,행저능량백내장초성유화흡출+인공정상체식입술혹저능량백내장초성유화흡출+낭대장력배식입+인공정상체식입술,출원후수방2～6월,평균(4.0±2.3)월.결과 16례술후라안시력급최가교정시력균교술전제고,술후안압교술전명현하강,소유술안인공정상체위치거중,술후무정상체탈위、안압승고혹파리체탈출등엄중병발증.결론 정상체불전탈위적백내장저능량초성유화인공정상체식입술,능감경술후전방반응,감소병발증,효과량호.
Objective To investigate the surgical technique of phacoemulsification in the treatment of patients with cataract and lens subluxation.Methods A retrospective case series rearch.The records of 16 eyes of 16 patients who underwent surgery for cataract and lens subluxation were reviewed.Combination low energy phacoemulsification and posterior chamber intraocular lens implantation was applied in the patients with or without capsular tension ring implantation.The mean follow-up was (4.0 ± 2.3) months.The visual acuity,intraocular pressure (IOP),intraocular lens position and complication were observed.Results The postoperative visual acuities and best corrected visual acuities were improved in various degrees.The postoperative mean intraocular pressure (13.49 ± 2.32 mmHg) was significantly lower than the preoperative one (15.26 ± 3.44 mmHg) (P ＜ 0.05).The position of intraocular lens of all cases was in the center.No serious complication,such as intraocular lens dislocation,high IOP or vitreous prolapse was seen.Conclusion The low energy phacoemulsification and posterior chamber intraocular lens implantation is safety and effective in the treatment of cataract combined with lens subluxation,with slight anterior chamber reaction and few complications.
