CAJ | 학술논문

目的：分析不同手术方法治疗外伤性晶状体脱位的疗效。 　　方法：回顾分析2011-10／2012-09收治的眼外伤致晶状体脱位患者39例的临床资料。所有患者根据其晶状体脱位的部位和程度的不同，采用不同的手术方式：晶状体囊内摘除、超声乳化吸除、经睫状体平坦部切口晶状体切除，同时视不同的病情联合相应的手术方式如：玻璃体视网膜手术、抗青光眼手术。 　　结果：所有患眼均成功去除晶状体，术后视力提高32眼（82％），未见明显并发症。 　　结论：外伤性晶状体脱位的手术方法根据脱位晶状体位置、程度及有无并发症而定，玻璃体切除及晶状体切除或晶状体摘出是晶状体脱位有效的治疗方法，合理的选择手术方式或联合手术是获得手术成功的关键。
목적：분석불동수술방법치료외상성정상체탈위적료효。 　　방법：회고분석2011-10／2012-09수치적안외상치정상체탈위환자39례적림상자료。소유환자근거기정상체탈위적부위화정도적불동，채용불동적수술방식：정상체낭내적제、초성유화흡제、경첩상체평탄부절구정상체절제，동시시불동적병정연합상응적수술방식여：파리체시망막수술、항청광안수술。 　　결과：소유환안균성공거제정상체，술후시력제고32안（82％），미견명현병발증。 　　결론：외상성정상체탈위적수술방법근거탈위정상체위치、정도급유무병발증이정，파리체절제급정상체절제혹정상체적출시정상체탈위유효적치료방법，합리적선택수술방식혹연합수술시획득수술성공적관건。
AIM: To discuss the efficacy of different surgical methods in treating traumatic lens dislocation. METHODS: Totally 39 cases with traumatic lens dislocation who underwent surgery treatment were analyzed retrospectively from October 2011 to September 2012.According to different positions and degrees of the lens dislocation, different surgical managements were performed:intracapsular lens extraction, phacoemulsification, lens extraction through incision of orbiculus ciliaris.Meanwhile, the cases were associated with homologous operations according to different conditions, such as vitreo -retinal operations, anti -glaucoma operations. RESULTS: All dislocated or subluxated lenses were removed completely, 32 eyes ( 82%) of postoperative visual acuity were improved, no significant complications were observed. CONCLUSION: The surgical treatment method of traumatic lens dislocation should be chosen according to the location, the extent, and the presence of complications of the dislocated lens.Vitrectomy and lensectomy or lens extraction are the most efficient treatments for patients of lens dislocation.Reasonable choice of surgical approach or combined surgery is the key point of treating traumatic lens dislocation.