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
8期
630-632
,共3页
超声乳化术%抗青光眼术%白内障%瞳孔,小,粘连性%患者,孤眼
超聲乳化術%抗青光眼術%白內障%瞳孔,小,粘連性%患者,孤眼
초성유화술%항청광안술%백내장%동공,소,점련성%환자,고안
Phacoemulsification%Surgery,anti-glaucoma%Cataract,small pupil,adhesive%Patients,solitary eye
目的 探讨孤眼(另眼已盲且无法复明者)患者抗青光眼术后白内障粘连性小瞳孔超声乳化手术的临床效果.方法 孤眼抗青光眼术后白内障粘连性小瞳孔43例(43眼),进行超声乳化手术.比较分析术前、术后1周及术后3个月眼压及视力变化情况,及术后并发症.结果 与术前相比,术后1周及3个月眼压≤21 mmHg(1mmHg =0.133 kPa)的比率提高,眼压＞21 mmHg的比率及平均眼压均降低,差异具有统计学意义(P＜0.05).与术前相比,术后1周及术后3个月视力均有所改善,其中术后1周视力＞0.5的比率及术后3个月视力0.3 ～0.5及＞0.5的比率均提高,术后3个月视力＜0.05的比率及视力0.05 ～ 0.25的比率均降低,差异具有统计学意义(P＜0.05).全组43例术后均无严重并发症发生.结论 超声乳化术治疗孤眼患者抗青光眼术后粘连性小瞳孔白内障手术风险较大,但经术前精心准备,手术细心操作及妥善的术后处理,术后眼压明显降低,视力明显提高,且无严重并发症发生,临床效果较好.
目的 探討孤眼(另眼已盲且無法複明者)患者抗青光眼術後白內障粘連性小瞳孔超聲乳化手術的臨床效果.方法 孤眼抗青光眼術後白內障粘連性小瞳孔43例(43眼),進行超聲乳化手術.比較分析術前、術後1週及術後3箇月眼壓及視力變化情況,及術後併髮癥.結果 與術前相比,術後1週及3箇月眼壓≤21 mmHg(1mmHg =0.133 kPa)的比率提高,眼壓＞21 mmHg的比率及平均眼壓均降低,差異具有統計學意義(P＜0.05).與術前相比,術後1週及術後3箇月視力均有所改善,其中術後1週視力＞0.5的比率及術後3箇月視力0.3 ～0.5及＞0.5的比率均提高,術後3箇月視力＜0.05的比率及視力0.05 ～ 0.25的比率均降低,差異具有統計學意義(P＜0.05).全組43例術後均無嚴重併髮癥髮生.結論 超聲乳化術治療孤眼患者抗青光眼術後粘連性小瞳孔白內障手術風險較大,但經術前精心準備,手術細心操作及妥善的術後處理,術後眼壓明顯降低,視力明顯提高,且無嚴重併髮癥髮生,臨床效果較好.
목적 탐토고안(령안이맹차무법복명자)환자항청광안술후백내장점련성소동공초성유화수술적림상효과.방법 고안항청광안술후백내장점련성소동공43례(43안),진행초성유화수술.비교분석술전、술후1주급술후3개월안압급시력변화정황,급술후병발증.결과 여술전상비,술후1주급3개월안압≤21 mmHg(1mmHg =0.133 kPa)적비솔제고,안압＞21 mmHg적비솔급평균안압균강저,차이구유통계학의의(P＜0.05).여술전상비,술후1주급술후3개월시력균유소개선,기중술후1주시력＞0.5적비솔급술후3개월시력0.3 ～0.5급＞0.5적비솔균제고,술후3개월시력＜0.05적비솔급시력0.05 ～ 0.25적비솔균강저,차이구유통계학의의(P＜0.05).전조43례술후균무엄중병발증발생.결론 초성유화술치료고안환자항청광안술후점련성소동공백내장수술풍험교대,단경술전정심준비,수술세심조작급타선적술후처리,술후안압명현강저,시력명현제고,차무엄중병발증발생,림상효과교호.
Objective To investigate the clinical efficacy of phacoemulsification on eyes with adhesive microcoria after anti-glaucoma surgery in cataract patient with solitary eye.Methods 43 cataract patients (43 eyes) with solitary eye were treated with phacoemulsification surgery for adhesive microcoria after anti-glaucoma surgery.The intraocular pressure and visual acuity before surgery and one week and three months after surgery were compared and analyzed.Results Compared with the intraocular pressure before surgery,one week and three months after surgery,the ratio of intraocular pressure at ≤21 mmHg was increased significantly,the ratio of intraocular pressure ＞ 21mmHg and average intraocular pressure were decreased significantly,and there were statistically significant difference (P ＜ 0.05).Compared with the visual acuity before surgery,one week and three months after surgery,the visual acuities were all improved.One week after surgery,the ratio of visual acuity at ＞ 0.5 increased.Three months after surgery,the ratio of visual acuity at 0.3 ～ 0.5,and at ＞ 0.5 were improved significantly.Three months after surgery,the ratio of visual acuity at ＜ 0.05 and 0.05 ～ 0.25 was reduced significantly,and there were statistically significant differences (P ＜ 0.05).There were no serious postoperative complications in 43 cases.Conclusion The adhesive microcoria cataract patients with solitary eye can be treated by phacoemulsification with high surgery risk.With good preoperative preparation,careful intraoperative operation and proper postoperative treatment,the intraocular pressure decreased and visual acuity was improved significantly and no serious complication happened.It has satisfactory clinical results.
