CAJ | 학술논문

回顾分析2008年至2012年杭州市残联老年人白内障518例856眼的临床资料.69眼(8.06％)发生角膜水肿,是术后早期低视力的主要因素;23眼(2.69％)发生后发性白内障,是术后中、远期低视力的重要因素;120眼非手术因素造成低视力的原因依次为糖尿病性视网膜病变48眼(40.00％),老年性黄斑变25眼(20.80％),高度近视性视网膜病变17眼(14.20％),青光眼性视神经病变16眼(13.30％),黄斑前膜、黄斑裂孔5眼(4.20％),弱视,角膜白斑等9眼(7.50％).眼底病变是导致白内障术后低视力的主要原因,而手术仍是目前治疗白内障最有效的方法之一.
회고분석2008년지2012년항주시잔련노년인백내장518례856안적림상자료.69안(8.06％)발생각막수종,시술후조기저시력적주요인소;23안(2.69％)발생후발성백내장,시술후중、원기저시력적중요인소;120안비수술인소조성저시력적원인의차위당뇨병성시망막병변48안(40.00％),노년성황반변25안(20.80％),고도근시성시망막병변17안(14.20％),청광안성시신경병변16안(13.30％),황반전막、황반렬공5안(4.20％),약시,각막백반등9안(7.50％).안저병변시도치백내장술후저시력적주요원인,이수술잉시목전치료백내장최유효적방법지일.
Retrospective analyses of clinical data were performed for 518 elderly cataract patients (856 eyes) of Disabled Persons' Federation in Hangzhou,Zhejiang Province.For 69 eyes (8.06％),corneal edema was a major factor of low vision during early postoperative period; for 23 eyes (2.69％),delayed cataract was an important cause of low vision during long-term postoperative period.The best corrected visual acuity of 120 eyes caused by nonsurgical factors was diabetic retinopathy (48 eyes,48.00％),senile macular degeneration (25 eyes,20.80％),high myopia retinopathy (17 eyes,14.20％),optic never injury in glaucoma (16 eyes,13.30％),macular membrane & hole (5 eyes,4.20％) and amblyopia & corneal leucoma (9 eyes,7.50％).Retinal disease is the most important reason of low vision after cataract surgery.And surgery remains the most effective treatment for cataract.