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
4期
250-254
,共5页
郑广瑛%张萌%郭静君%郑艳%祝凤梅
鄭廣瑛%張萌%郭靜君%鄭豔%祝鳳梅
정엄영%장맹%곽정군%정염%축봉매
植入,晶状体,人工,缝线固定%白内障,外伤性%眼压%灌注,眼内
植入,晶狀體,人工,縫線固定%白內障,外傷性%眼壓%灌註,眼內
식입,정상체,인공,봉선고정%백내장,외상성%안압%관주,안내
Implantation,lens,intraocular,suturing fixation%Cataract,traumatic%Pressure,intraocular%Infusion,intraocular
目的 临床观察复杂外伤性白内障Ⅱ期人工晶状体睫状沟缝线固定术,术中稳定的眼压对手术操作的安全性及术后视觉效果的意义.方法 人工晶状体睫状沟缝线固定术的外伤性白内障术后的无晶状体眼连续病例60例(60只眼),随机分为两组:观察组30例(30只眼)术中经睫状体平坦部置眼内BSS灌注通道控制眼压;对照组30例(30只眼)常规应用黏弹剂及BSS维持前房深度及眼球形态.分别于术后3个月及6个月观察两组患者的裸眼视力及最佳矫正视力、术中及术后并发症(包括角膜水肿、角膜散光、人工晶状体偏心倾斜等).结果 术后3个月,观察组视力优于对照组,两组患者的裸眼视力(t=2.297,P=0.025),最佳矫正视力(t=2.305,P=0.025)差异有统计学意义;术后6个月,裸眼视力观察组优于对照组(t=2.388,P=0.02),最佳矫正视力观察组也优于对照组(t=2.70,P=0.009).观察组术中及术后并发症较对照组少,差异具有统计学意义.结论 经平坦部置眼内灌注以保持眼压的稳定,有利于Ⅱ期人工晶状体睫状沟缝线固定术的手术操作,减少手术并发症,恢复良好的视觉功能.
目的 臨床觀察複雜外傷性白內障Ⅱ期人工晶狀體睫狀溝縫線固定術,術中穩定的眼壓對手術操作的安全性及術後視覺效果的意義.方法 人工晶狀體睫狀溝縫線固定術的外傷性白內障術後的無晶狀體眼連續病例60例(60隻眼),隨機分為兩組:觀察組30例(30隻眼)術中經睫狀體平坦部置眼內BSS灌註通道控製眼壓;對照組30例(30隻眼)常規應用黏彈劑及BSS維持前房深度及眼毬形態.分彆于術後3箇月及6箇月觀察兩組患者的裸眼視力及最佳矯正視力、術中及術後併髮癥(包括角膜水腫、角膜散光、人工晶狀體偏心傾斜等).結果 術後3箇月,觀察組視力優于對照組,兩組患者的裸眼視力(t=2.297,P=0.025),最佳矯正視力(t=2.305,P=0.025)差異有統計學意義;術後6箇月,裸眼視力觀察組優于對照組(t=2.388,P=0.02),最佳矯正視力觀察組也優于對照組(t=2.70,P=0.009).觀察組術中及術後併髮癥較對照組少,差異具有統計學意義.結論 經平坦部置眼內灌註以保持眼壓的穩定,有利于Ⅱ期人工晶狀體睫狀溝縫線固定術的手術操作,減少手術併髮癥,恢複良好的視覺功能.
목적 림상관찰복잡외상성백내장Ⅱ기인공정상체첩상구봉선고정술,술중은정적안압대수술조작적안전성급술후시각효과적의의.방법 인공정상체첩상구봉선고정술적외상성백내장술후적무정상체안련속병례60례(60지안),수궤분위량조:관찰조30례(30지안)술중경첩상체평탄부치안내BSS관주통도공제안압;대조조30례(30지안)상규응용점탄제급BSS유지전방심도급안구형태.분별우술후3개월급6개월관찰량조환자적라안시력급최가교정시력、술중급술후병발증(포괄각막수종、각막산광、인공정상체편심경사등).결과 술후3개월,관찰조시력우우대조조,량조환자적라안시력(t=2.297,P=0.025),최가교정시력(t=2.305,P=0.025)차이유통계학의의;술후6개월,라안시력관찰조우우대조조(t=2.388,P=0.02),최가교정시력관찰조야우우대조조(t=2.70,P=0.009).관찰조술중급술후병발증교대조조소,차이구유통계학의의.결론 경평탄부치안내관주이보지안압적은정,유리우Ⅱ기인공정상체첩상구봉선고정술적수술조작,감소수술병발증,회복량호적시각공능.
Objective To study whether the stable intraocular pressure during secondary ciliary sulcus suturing of intraocular lens played an important role in the surgical safety and visual outcome after operation.Methods Sixty eyes of 60 patients with traumatic cataract were treated with ciliary sulcus suturing of intraocular lens.The selected cases were divided into two groups randomly.Those 30 cases (30 eyes) with the placement of BSS intraocular perfusion system via the pars plana was the observation group.The others with Healon and BSS solution to maintain anterior chamber depth and eye shape was the control group.The uncorrected visual acuity(UCVA) and best corrected visual acuity(BCVA) at 3 months and 6 months after surgery,the intraoperative and postoperative complications (including corneal edema,corneal astigmatism,the eccentricity and tilt of IOL) were observed.Results At 3 months after operation,there were significant differences between two groups in the UCVA (t =2.297,P =0.025) and BCVA (t =2.305,P =0.025).6 months after operation,the UCVA and BCVA in the observation group were better than the control group (t =2.388,P =0.02;t =2.70,P =0.009).The incidence of complications of the observation group was lower than the control group' s significantly.Conclusion Intraocular perfusion system via pars plana can maintain stable intraocular pressure during secondary ciliary sulcus suturing of intraocular lens which is important for safe surgical procedure and good visual outcome.
