CAJ | 학술논문

目的探讨高龄患者白内障手术中自发性前房积血的发病机制及处理措施.方法回顾分析我院5年来高龄白内障手术167例,其中4例(81～ 90岁)术中发生自发性前房积血,观察其积血时机与转归.结果积血量不大,常规完成白内障摘出并人工晶状体植入术,术后未再积血.结论高龄患者调整好全身情况,一般可顺利完成小切口白内障摘出手术,术中前房积血时利用黏弹剂防止进一步增加,预后良好.
목적 탐토고령환자백내장수술중자발성전방적혈적발병궤제급처리조시.방법 회고분석아원5년래고령백내장수술167례,기중4례(81～ 90세)술중발생자발성전방적혈,관찰기적혈시궤여전귀.결과 적혈량불대,상규완성백내장적출병인공정상체식입술,술후미재적혈.결론 고령환자조정호전신정황,일반가순리완성소절구백내장적출수술,술중전방적혈시이용점탄제방지진일보증가,예후량호.
Objective To discuss the pathogenesis and treatment of intraoperative spontaneous hyphema in senile patients with cataract.Methods We retrospectively analyzed 167 senile patients with cataract in the last five years in our hospital.In which the occasion and prognosis of 4 cases of (81 ～ 90)years old with spontaneous hyphema in cataract extraction surgery were analysed.Results All patients underwent cataract extraction and intraocular lens implantation with little hemorrhage.There was no secondary hemorrhage after operation.Conclusion The senile patients can be accomplished small incision cataract surgery successfully with good body condition.The hemorrhage can be controlled with viscoelastic substance.The prognosis is good.