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
7期
547-550
,共4页
刘湘云%高秀娟%孙明伟%薛爱君%张艳华%赵春梅
劉湘雲%高秀娟%孫明偉%薛愛君%張豔華%趙春梅
류상운%고수연%손명위%설애군%장염화%조춘매
白内障,外伤性%晶状体,人工,可折叠%固定,缝合,单襻%不全脱位,晶状体%视力
白內障,外傷性%晶狀體,人工,可摺疊%固定,縫閤,單襻%不全脫位,晶狀體%視力
백내장,외상성%정상체,인공,가절첩%고정,봉합,단반%불전탈위,정상체%시력
Cataract,traumatic%Lens,intraocular,foldable%Fixation,suturing,one loop%Subluxation,lens%Vision
目的 探讨外伤性白内障晶状体不全脱位时,采用单襻缝合固定可折叠人工晶状体悬吊术的效果.方法 前瞻性病例对照研究.对40例(40眼)外伤性白内障晶状体不全脱位范围180°～240°者,随机分为两组:试验组20例行单襻缝合固定可折叠人工晶状体悬吊术,对照组20例行常规人工晶体悬吊术,术后1d、7d、1月、3月观察裸眼视力、最佳矫正视力、角膜散光、眼压、并发症等情况,并进行统计学分析.结果 试验组与对照组间术后各时期裸眼视力比较及术后1d最佳矫正视力比较,差异有统计学意义,试验组优于对照组,两组间术后7d、1月、3月最佳矫正视力比较,差异无统计学意义.两组间术后各时期角膜散光及术后1d眼压比较,差异有统计学意义,试验组优于对照组,两组间术后7d、1月、3月眼压比较,差异无统计学意义.试验组角膜水肿、玻璃体出血浑浊并发症的出现少于对照组.结论 单襻缝合固定可折叠人工晶状体悬吊术是一种安全有效的手术方法.
目的 探討外傷性白內障晶狀體不全脫位時,採用單襻縫閤固定可摺疊人工晶狀體懸弔術的效果.方法 前瞻性病例對照研究.對40例(40眼)外傷性白內障晶狀體不全脫位範圍180°～240°者,隨機分為兩組:試驗組20例行單襻縫閤固定可摺疊人工晶狀體懸弔術,對照組20例行常規人工晶體懸弔術,術後1d、7d、1月、3月觀察裸眼視力、最佳矯正視力、角膜散光、眼壓、併髮癥等情況,併進行統計學分析.結果 試驗組與對照組間術後各時期裸眼視力比較及術後1d最佳矯正視力比較,差異有統計學意義,試驗組優于對照組,兩組間術後7d、1月、3月最佳矯正視力比較,差異無統計學意義.兩組間術後各時期角膜散光及術後1d眼壓比較,差異有統計學意義,試驗組優于對照組,兩組間術後7d、1月、3月眼壓比較,差異無統計學意義.試驗組角膜水腫、玻璃體齣血渾濁併髮癥的齣現少于對照組.結論 單襻縫閤固定可摺疊人工晶狀體懸弔術是一種安全有效的手術方法.
목적 탐토외상성백내장정상체불전탈위시,채용단반봉합고정가절첩인공정상체현조술적효과.방법 전첨성병례대조연구.대40례(40안)외상성백내장정상체불전탈위범위180°～240°자,수궤분위량조:시험조20례행단반봉합고정가절첩인공정상체현조술,대조조20례행상규인공정체현조술,술후1d、7d、1월、3월관찰라안시력、최가교정시력、각막산광、안압、병발증등정황,병진행통계학분석.결과 시험조여대조조간술후각시기라안시력비교급술후1d최가교정시력비교,차이유통계학의의,시험조우우대조조,량조간술후7d、1월、3월최가교정시력비교,차이무통계학의의.량조간술후각시기각막산광급술후1d안압비교,차이유통계학의의,시험조우우대조조,량조간술후7d、1월、3월안압비교,차이무통계학의의.시험조각막수종、파리체출혈혼탁병발증적출현소우대조조.결론 단반봉합고정가절첩인공정상체현조술시일충안전유효적수술방법.
Objective To observe efficacy of foldable IOL suspension surgery with one loop suturing for traumatic cataract with subluxation of lens.Methods Prospective case-control study.Forty eyes of 40 cases of traumatic cataract with lens subluxation were randomly divided into two groups:control group (20 eyes of 20cases) and trial group(20 eyes of 20cases).The trial group was given foldable IOL suspension surgery with one loop suturing.The control group was given routine IOL suspension surgery.The uncorrected visual acuity,best corrected visual acuity,corneal astigmatism,intraocular pressure and complications on the first day,seventh day,first month,third month after the surgerywere observed and analyzed.Results There was statistically significant difference in uncorrected visual acuity after surgery and in best corrected visual acuity on the first day after surgery between two groups.The uncorrected and best corrected visual acuity of trial group was better than control group.Corneal astigmatism at any time after surgery and intraocular pressure on the first day after surgery of the trial group were better than control group.There was no significant difference in intraocular pressure on the seventh day,the first month and the third month after surgery between two groups.The complications such as corneal edema,vitreous bleeding in trial group were less than control group.Conclusion The foldable IOL suspension surgery with one loop suturing is an effective and safe surgical method.
