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
263-266
,共4页
手术,白内障%超声乳化吸出术%盲%低视力%原因
手術,白內障%超聲乳化吸齣術%盲%低視力%原因
수술,백내장%초성유화흡출술%맹%저시력%원인
Surgery,cataract%Phacoemulsification%Blindness%Low vision%Cause
目的 分析白内障手术后盲及低视力的原因和防治方法.方法 收集资料完整的年龄≥20岁白内障超声乳化吸出术连续病例915例(991眼),术后随访3个月,对盲及低视力的原因和防治方法进行回顾性分析.结果 术后1d、1周、1个月和3个月时盲及低视力者依次为170例(183眼)、129例(138眼)、113例(121眼)和105例(113眼).白内障术后早期(1周内)导致盲及低视力的主要原因是手术并发症,依次为角膜水肿、一过性高眼压、后囊破裂.术后中远期(1～3个月)导致盲及低视力的主要原因是术前原有的眼病,其中眼底病占79.64％,依次为糖尿病性视网膜病变、高度近视、青光眼视神经萎缩等.结论 减少手术并发症和术前及术后治疗术前原有的眼病,是防治白内障术后盲及低视力的主要方法.
目的 分析白內障手術後盲及低視力的原因和防治方法.方法 收集資料完整的年齡≥20歲白內障超聲乳化吸齣術連續病例915例(991眼),術後隨訪3箇月,對盲及低視力的原因和防治方法進行迴顧性分析.結果 術後1d、1週、1箇月和3箇月時盲及低視力者依次為170例(183眼)、129例(138眼)、113例(121眼)和105例(113眼).白內障術後早期(1週內)導緻盲及低視力的主要原因是手術併髮癥,依次為角膜水腫、一過性高眼壓、後囊破裂.術後中遠期(1～3箇月)導緻盲及低視力的主要原因是術前原有的眼病,其中眼底病佔79.64％,依次為糖尿病性視網膜病變、高度近視、青光眼視神經萎縮等.結論 減少手術併髮癥和術前及術後治療術前原有的眼病,是防治白內障術後盲及低視力的主要方法.
목적 분석백내장수술후맹급저시력적원인화방치방법.방법 수집자료완정적년령≥20세백내장초성유화흡출술련속병례915례(991안),술후수방3개월,대맹급저시력적원인화방치방법진행회고성분석.결과 술후1d、1주、1개월화3개월시맹급저시력자의차위170례(183안)、129례(138안)、113례(121안)화105례(113안).백내장술후조기(1주내)도치맹급저시력적주요원인시수술병발증,의차위각막수종、일과성고안압、후낭파렬.술후중원기(1～3개월)도치맹급저시력적주요원인시술전원유적안병,기중안저병점79.64％,의차위당뇨병성시망막병변、고도근시、청광안시신경위축등.결론 감소수술병발증화술전급술후치료술전원유적안병,시방치백내장술후맹급저시력적주요방법.
Objective To investigate the causes and preventive methods of blindness and low vision after cataract surgery.Methods The complete data of 991 eyes of 915 consecutive cases aged over twenty years and treated with cataract phacoemulsification were collected.The causes and preventive methods of blindness and low vision after the surgery were retrospectively analyzed followed up for 3 months after surgery.Results The blindness and low vision were found in 183 eyes of 170 cases,138 eyes of 129 cases,121 eyes of 113 cases and 113 eyes of 105 cases at 1 d,7 d,30 d and 90 d after surgery respectively.In the early time of post-operation,the main causes of blindness and low vision were surgical complications,including corneal edema,transient high intraocular pressure and posterior capsular rupture.The main mid and long term causes were preoperative original eye diseases,the most common of which was fundus lesion,accounting for 79.64％,followed by diabetic retinopathy,high myopia and glaucomatous optic atrophy.Conclusion Minimization of surgical complications and treatment of preoperative original eye diseases are the main preventive methods for post-operative blindness and low vision after cataract surgery.
