CAJ | 학술논문

目的探讨独眼抗青光眼术后并发性白内障粘连性小瞳孔手术的可行性.方法选择46例独眼抗青光眼术后并发性白内障粘连性小瞳孔患者进行白内障摘除及人工晶状体植入手术.观察术后视力,粘连瞳孔改善情况、眼压、人工晶状体位置、角膜水肿、晶状体后囊完整情况等.结果术后视力均有不同程度提高,裸眼视力:0.6～1.0者27只眼(58.7％),0.3～0.5者8只眼(17.4％),0.05～0.3有10只眼(21.7％),＜0.05者视力为指数/眼前1例,患者脱残率77％,脱盲率98％.术后眼压均恢复至正常.主要并发症有角膜水肿、后囊膜破裂、术后葡萄膜炎性反应及瞳孔变形等.结论对独眼抗青光眼术后白内障患者采取认真的术前评估,选择好适应证,手术时机,制定个性化手术方案,手术是安全有效的.
목적 탐토독안항청광안술후병발성백내장점련성소동공 수술적가행성.방법 선택46례독안항청광안술후병발성백내장점련성소동공환자진행백내장적제급인공정상체식입수술.관찰술후시력,점련동공개선정황、안압、인공정상체위치、각막수종、정상체후낭완정정황등.결과 술후시력균유불동정도제고,라안시력:0.6～1.0자27지안(58.7％),0.3～0.5자8지안(17.4％),0.05～0.3유10지안(21.7％),＜0.05자시력위지수/안전1례,환자탈잔솔77％,탈맹솔98％.술후안압균회복지정상.주요병발증유각막수종、후낭막파렬、술후포도막염성반응급동공변형등.결론 대독안항청광안술후백내장환자채취인진적술전평고,선택호괄응증,수술시궤,제정개성화수술방안,수술시안전유효적.
Objective To explore the feasibility of the unique eye cataract surgery.Methods Forty-six cases of unique cye cataract accepted ECCE or phacoemulsification and PC-IOL implantation.Results After operation,eyesight were improved to varying degrees,to take off the residual rate 77％,blind rate was 98％.The main complications were corneal edema,posterior capsular rupture,postoperative grapes membrane inflammatory reaction and irregular pupil etc.Conclusions For unique eye cataract patients,as long as we take seriously,safely,responsible attitude,correct preoperative evaluations,choose a good indication,the timing of the operation,formulation personalization operation program,and surgery is safe and effective.