CAJ | 학술논문

目的评价前房维持器前房灌注在白内障摘出联合玻璃体切除术中应用的效果.方法回顾性分析白内障摘出联合玻璃切除术52例(52眼).其中前房维持器前房灌注组22例(22眼),常规巩膜切口灌注组30例(30眼).部分病例联合眼内异物摘出或人工晶状体Ⅰ期植入等手术.随访3 ～15个月,观察比较其疗效.结果两组病例均顺利完成联合手术,眼内异物均成功摘出.两组术后最佳矫正视力≥0.05者:前房灌注组72.7％(16/22),常规灌注组70.0％(21/30),差异无统计学意义(x2=0.046,P=0.830).结论白内障摘出联合玻璃体切除术是治疗合并白内障的玻璃体视网膜疾病的有效方法.前房灌注和常规巩膜切口灌注下手术疗效无明显差异.
목적 평개전방유지기전방관주재백내장적출연합파리체절제술중응용적효과.방법 회고성분석백내장적출연합파리절제술52례(52안).기중전방유지기전방관주조22례(22안),상규공막절구관주조30례(30안).부분병례연합안내이물적출혹인공정상체Ⅰ기식입등수술.수방3 ～15개월,관찰비교기료효.결과 량조병례균순리완성연합수술,안내이물균성공적출.량조술후최가교정시력≥0.05자:전방관주조72.7％(16/22),상규관주조70.0％(21/30),차이무통계학의의(x2=0.046,P=0.830).결론 백내장적출연합파리체절제술시치료합병백내장적파리체시망막질병적유효방법.전방관주화상규공막절구관주하수술료효무명현차이.
Objective To evaluate the curative effect of using anterior chamber maintainer in cataract extraction associated with vitrectomy.Methods We analyzed 52 cases(52 eyes) who underwent cataract extraction associated with vitrectomy retrospectively.There were 22 cases (22 eyes) in the anterior chamber maintainer group and 30 cases (30 eyes) in routine perfusion group.Some cases were associated ith the removal of intraocular foreign body or inserting of intraocular lens.They were followed up for 3 ～ 15 months,and we compared the curative effect.Results We accomplished the associated operation and extracted the intraocular foreign body successfully.The rate of best corrected vision better than or equal to 0.05 in the two groups:the anterior chamber maintainer group was 72.7％ (16/22),the routine perfusion group was 70.0％ (21/30).The difference between the two groups has no statistical significance (x2 =0.046,P =0.830).Conclusion Cataract extraction associated with vitrectomy is a kind of effective method in treating with vitreoretinal diseases combined with cataract.The curative effect between anterior chamber perfusion method and routine scleral incision instillation method has no obvious difference.