CAJ | 학술논문

目的探讨并总结小切口白内障囊外摘除联合人工晶状体植入术治疗晶状体溶解性青光眼的临床疗效.方法回顾性分析确诊并行小切口白内障囊外摘除联合人工晶状体植入术的50例50眼晶状体溶解性青光眼,观察并记录其视力、眼压及并发症等变化情况.结果 50例患者手术均顺利进行,术中未出现任何并发症.术后3个月随访时视力恢复良好,有7眼视力在0.1 ～0.5,占14.0％ ;35眼视力在0.6 ～0.9,占70.0％；矫正视力在1.0及其以上有8眼,占16.0％.所有患者术后随访时眼压均在正常范围,与术前比较差异有统计学意义(P＜0.01)；术后均无严重影响眼压及视力的并发症出现.结论小切口白内障囊外摘除联合人工晶状体植入术治疗晶状体溶解性青光眼具有良好的临床效果,值得基层医院推广.
목적 탐토병총결소절구백내장낭외적제연합인공정상체식입술치료정상체용해성청광안적림상료효.방법 회고성분석학진병행소절구백내장낭외적제연합인공정상체식입술적50례50안정상체용해성청광안,관찰병기록기시력、안압급병발증등변화정황.결과 50례환자수술균순리진행,술중미출현임하병발증.술후3개월수방시시력회복량호,유7안시력재0.1 ～0.5,점14.0％ ;35안시력재0.6 ～0.9,점70.0％；교정시력재1.0급기이상유8안,점16.0％.소유환자술후수방시안압균재정상범위,여술전비교차이유통계학의의(P＜0.01)；술후균무엄중영향안압급시력적병발증출현.결론 소절구백내장낭외적제연합인공정상체식입술치료정상체용해성청광안구유량호적림상효과,치득기층의원추엄.
Objective To evaluate the clinical effect of small incision extraction cataract extracapsularis(ECCE) and intraoeular lens(IOL) implantation on phacolytic glaucoma.Methods Fifty cases(50 eyes) with phacolytic glaucoma received small incision ECCE and IOL implantation.Postoperative visual acuity and intraocular pressure were examined and any complications during and after surgery were observed.Results At the third month after the surgery,the average corrective visual acuity was 0.1-0.5 in 7 eyes,0.6-0.9 in 35 eyes,1.0 of better in 8 eyes ; and the intraocular pressure were under control.Compared with the preoperative condition,differences were significant(P ＜0.01).There were no severe complications occurring intra-operatively or post-operatively.Conclusions Small incision ECCE combined with IOL implantation is an effective treatment for phacolytic glaucoma.