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
3期
182-184
,共3页
晶状体%晶状体,人工%脱位%视网膜脱离%玻璃体切除术
晶狀體%晶狀體,人工%脫位%視網膜脫離%玻璃體切除術
정상체%정상체,인공%탈위%시망막탈리%파리체절제술
Lens%Lens,intraocular%Dislocation%Detachment,retinal%Vitrectomy
目的 探讨玻璃体切除术治疗晶状体或人工晶状体脱入玻璃体腔伴视网膜脱离的临床疗效和并发症.方法 对在我院进行标准睫状体平坦部三切口闭合式玻璃体切除术的26例(26只眼)晶状体或人工晶状体脱入玻璃体腔伴视网膜脱离者行回顾性分析.其中眼挫伤后晶状体脱位7只眼,白内障术中晶状体脱位和术后人工晶状体脱位19只眼.对人工晶状体脱入玻璃体腔者术中经角膜缘摘出人工晶状体,对晶状体脱入玻璃体腔者直接在玻璃体腔内行晶状体核超声乳化吸出.其中14只眼行硅油填充,12只眼行C3F8填充,16只眼联合巩膜外加压.术后随访6～18个月,平均(11.50±2.67)月.结果 26只眼均顺利摘出人工晶状体或超声乳化吸出玻璃体腔内晶状体核,视网膜最终完全复位23只眼(88.46％),部分复位2只眼(7.69％),失败1只眼(3.85％),后者系由病程长,增生性玻璃体视网膜病变(PVR)严重所致,术后大部分患者视力有不同程度的提高.结论 玻璃体切除术治疗晶状体或人工晶状体脱人玻璃体腔伴视网膜脱离可获得较好解剖效果,但功能恢复较差.
目的 探討玻璃體切除術治療晶狀體或人工晶狀體脫入玻璃體腔伴視網膜脫離的臨床療效和併髮癥.方法 對在我院進行標準睫狀體平坦部三切口閉閤式玻璃體切除術的26例(26隻眼)晶狀體或人工晶狀體脫入玻璃體腔伴視網膜脫離者行迴顧性分析.其中眼挫傷後晶狀體脫位7隻眼,白內障術中晶狀體脫位和術後人工晶狀體脫位19隻眼.對人工晶狀體脫入玻璃體腔者術中經角膜緣摘齣人工晶狀體,對晶狀體脫入玻璃體腔者直接在玻璃體腔內行晶狀體覈超聲乳化吸齣.其中14隻眼行硅油填充,12隻眼行C3F8填充,16隻眼聯閤鞏膜外加壓.術後隨訪6～18箇月,平均(11.50±2.67)月.結果 26隻眼均順利摘齣人工晶狀體或超聲乳化吸齣玻璃體腔內晶狀體覈,視網膜最終完全複位23隻眼(88.46％),部分複位2隻眼(7.69％),失敗1隻眼(3.85％),後者繫由病程長,增生性玻璃體視網膜病變(PVR)嚴重所緻,術後大部分患者視力有不同程度的提高.結論 玻璃體切除術治療晶狀體或人工晶狀體脫人玻璃體腔伴視網膜脫離可穫得較好解剖效果,但功能恢複較差.
목적 탐토파리체절제술치료정상체혹인공정상체탈입파리체강반시망막탈리적림상료효화병발증.방법 대재아원진행표준첩상체평탄부삼절구폐합식파리체절제술적26례(26지안)정상체혹인공정상체탈입파리체강반시망막탈리자행회고성분석.기중안좌상후정상체탈위7지안,백내장술중정상체탈위화술후인공정상체탈위19지안.대인공정상체탈입파리체강자술중경각막연적출인공정상체,대정상체탈입파리체강자직접재파리체강내행정상체핵초성유화흡출.기중14지안행규유전충,12지안행C3F8전충,16지안연합공막외가압.술후수방6～18개월,평균(11.50±2.67)월.결과 26지안균순리적출인공정상체혹초성유화흡출파리체강내정상체핵,시망막최종완전복위23지안(88.46％),부분복위2지안(7.69％),실패1지안(3.85％),후자계유병정장,증생성파리체시망막병변(PVR)엄중소치,술후대부분환자시력유불동정도적제고.결론 파리체절제술치료정상체혹인공정상체탈인파리체강반시망막탈리가획득교호해부효과,단공능회복교차.
Objective To investigate the results and complications of vitrectomy in the treatment of natural lens or intraocular lens dislocated into vitreous cavity combined with retinal detachment.Methods We retrospectively analyzed the clinical data of 26 eyes of 26 cases with natural lens or intraocular lens dislocated into vitreous cavity combined with retinal detachment who had undergone vitreoretinal surgery.Lens dislocation after blunt trauma was found in 7 eyes,and in other 19 eyes,natural lens or intraocular lens was dislocated during or after cataract surgery.The dislocated intraocular lens was removed through the limbal incision.The dislocated natural lens was removed by phacoemulsification in the vitreous cavity.The vitreous cavity was tamponaded with silicone oil in 14 eyes and C3F8 in other 12 eyes.16 eyes were treated with additional scleral buckling operation.The follow-up duration was 6-18 months,average (11.50 ±2.67) months.Results The dislocated natural lens and intraocular lens were all removed successfully in these 26 eyes.The total retinal reattachment was achieved in 23 eyes (88.46％),part reattachment was found in 2 eyes (7.69％),failure occurred in 1 eye (3.85％) due to severe proliferative vitreoretinopathy (PVR).The visual acuity was improved after operation in all eyes.Conclusion Vitrectomy for natural lens or intraocular lens dislocated into vitreous cavity combined with retinal detachment may achieve a high final retinal reattachment rate,but relatively bad functional results.
