中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
1期
69-72
,共4页
带虹膜隔人工晶状体%角膜内皮%前房深度%房角%UBM
帶虹膜隔人工晶狀體%角膜內皮%前房深度%房角%UBM
대홍막격인공정상체%각막내피%전방심도%방각%UBM
IOL with iris diaphragm%Corneal endothelial cells%Anterior chamber depth%Anterior chamber angle%UBM
目的 通过带虹膜隔人工品状体植入后对角膜内皮细胞、前房深度及房角结构变化的研究,认为带虹膜隔人工品状体植入是目前治疗外伤性虹膜缺损效果好且副反应小的方法.方法 对2010年1月至2012年1月在潍坊市第二人民医院五官科就诊的20例外伤性虹膜缺损患者,均行玻璃体切割术3个月后再行睫状沟缝线固定带虹膜隔人工晶状体.患者术前和术后1周、1个月、3个月均采用角膜内皮显微镜检查角膜内皮细胞密度、UBM检查前房深度及房角.观察术前和术后1周、1个月、3个月角膜内皮细胞密度及前房深度、房角的变化.结果 (1)带虹膜隔人工晶状体植入后,角膜内皮细胞密度降低,术后1周、1个月、3个月与术前比,术后1周、1个月、3个月两两相比,差异均无统计学意义(P＞0.05).(2)带虹膜隔人工晶状体植入后前房深度变浅、房角变窄,与正常眼前房深度比较差异有统计学意义(P＜0.05).结论 (1)带虹膜隔人工晶状体植入术后,角膜内皮细胞密度降低,但与术前比较差异无统计学意义(P＞0.05).(2)带虹膜隔人工晶状体植入术后前房变浅,房角变窄,与正常眼比较差异有统计学意义(P＜0.05).UBM观察前房深度及房角无创伤且能早期发现房角异常,值得推广.
目的 通過帶虹膜隔人工品狀體植入後對角膜內皮細胞、前房深度及房角結構變化的研究,認為帶虹膜隔人工品狀體植入是目前治療外傷性虹膜缺損效果好且副反應小的方法.方法 對2010年1月至2012年1月在濰坊市第二人民醫院五官科就診的20例外傷性虹膜缺損患者,均行玻璃體切割術3箇月後再行睫狀溝縫線固定帶虹膜隔人工晶狀體.患者術前和術後1週、1箇月、3箇月均採用角膜內皮顯微鏡檢查角膜內皮細胞密度、UBM檢查前房深度及房角.觀察術前和術後1週、1箇月、3箇月角膜內皮細胞密度及前房深度、房角的變化.結果 (1)帶虹膜隔人工晶狀體植入後,角膜內皮細胞密度降低,術後1週、1箇月、3箇月與術前比,術後1週、1箇月、3箇月兩兩相比,差異均無統計學意義(P＞0.05).(2)帶虹膜隔人工晶狀體植入後前房深度變淺、房角變窄,與正常眼前房深度比較差異有統計學意義(P＜0.05).結論 (1)帶虹膜隔人工晶狀體植入術後,角膜內皮細胞密度降低,但與術前比較差異無統計學意義(P＞0.05).(2)帶虹膜隔人工晶狀體植入術後前房變淺,房角變窄,與正常眼比較差異有統計學意義(P＜0.05).UBM觀察前房深度及房角無創傷且能早期髮現房角異常,值得推廣.
목적 통과대홍막격인공품상체식입후대각막내피세포、전방심도급방각결구변화적연구,인위대홍막격인공품상체식입시목전치료외상성홍막결손효과호차부반응소적방법.방법 대2010년1월지2012년1월재유방시제이인민의원오관과취진적20예외상성홍막결손환자,균행파리체절할술3개월후재행첩상구봉선고정대홍막격인공정상체.환자술전화술후1주、1개월、3개월균채용각막내피현미경검사각막내피세포밀도、UBM검사전방심도급방각.관찰술전화술후1주、1개월、3개월각막내피세포밀도급전방심도、방각적변화.결과 (1)대홍막격인공정상체식입후,각막내피세포밀도강저,술후1주、1개월、3개월여술전비,술후1주、1개월、3개월량량상비,차이균무통계학의의(P＞0.05).(2)대홍막격인공정상체식입후전방심도변천、방각변착,여정상안전방심도비교차이유통계학의의(P＜0.05).결론 (1)대홍막격인공정상체식입술후,각막내피세포밀도강저,단여술전비교차이무통계학의의(P＞0.05).(2)대홍막격인공정상체식입술후전방변천,방각변착,여정상안비교차이유통계학의의(P＜0.05).UBM관찰전방심도급방각무창상차능조기발현방각이상,치득추엄.
Objective To infer the traumatic iris coloboma's treatment of IOL with iris diaphragm implantation effectively and with fewer side effect.Methods Twenty cases with traumatic iris coloboma were studied.All patients were implanted an IOL with iris diaphragm after vitrectomy 3 months later.With the help of corneal endothelial microscopy and UBM,the changes of corneal endothelial cell density,anterior chamber depth and angle on preoperation and postoperation 1 week,1 month and 3 months were observed.Results After operation,the density of corneal endothelial cells fallen,but the difference was not statistically significant between 1 week,1 month,3 months and pre-operation,and no difference after pairwise comparisons on 1 week,1 month and 3 months.After operation,anterior chamber depth became shallow and angle narrow.The difference was statistically significant compared with normal anterior chamber depth.Conclusions After operation,the density of comeal endothelial cell fallen,but the difference is not statistically significant compared with pre-operation.After operation,anterior chamber depth become shallow and angle narrow.The difference is statistically significant compared with normal anterior chamber depth.UBM can provide a non-traumatic method for the examination on anterior chamber depth and angle,and find out the early abnormal performance of anterior chamber angle,it is worth popularizing.
