国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
4期
699-700
,共2页
曾先国%钟守国%冯静平%邓强兵%高立
曾先國%鐘守國%馮靜平%鄧彊兵%高立
증선국%종수국%풍정평%산강병%고립
外伤%晶状体半脱位%白内障%碎核乳化%手法%人工晶状体
外傷%晶狀體半脫位%白內障%碎覈乳化%手法%人工晶狀體
외상%정상체반탈위%백내장%쇄핵유화%수법%인공정상체
traumatic%lens subluxation%cataract%fragmentation and emulsification of nucleus%method%intraocular lens
目的：探讨并观察外伤性晶状体半脱位合并白内障的3.0 mm小切口白内障手法碎核乳化摘除联合折叠式人工晶状体植入术的手术方法和手术效果。<br> 方法：对26例26眼外伤性晶状体半脱位(悬韧带断裂范围≤120o)合并白内障(晶状体核硬度I~芋级)的患者于晶状体悬韧带正常处中部作3.0mm带球结膜的角巩膜缘隧道式切口,将核劈开、挤压或搅碎乳化后摘除并联合折叠式人工晶状体植入,人工晶状体襻顶置入晶状体悬韧带断裂处中间以复位囊袋,观察手术并发症及术后视力变化。<br> 结果：术后视力均有不同程度提高,术后3mo视力0.2~0.4者5眼(19%),0.5~0.8者21眼(81%)；晶状体位置不偏心者22眼(85%),轻度偏心(1~2mm)者4眼(15%)。术后24h内眼压升高12眼(46%),2~7d后恢复正常。无其他严重术中、术后并发症。<br> 结论：对轻中度外伤性晶状体半脱位合并白内障采用3.0 mm角巩膜缘隧道式切口的白内障手法碎核乳化联合折叠式人工晶状体植入术,是一种较为简便有效、安全的手术方式。
目的：探討併觀察外傷性晶狀體半脫位閤併白內障的3.0 mm小切口白內障手法碎覈乳化摘除聯閤摺疊式人工晶狀體植入術的手術方法和手術效果。<br> 方法：對26例26眼外傷性晶狀體半脫位(懸韌帶斷裂範圍≤120o)閤併白內障(晶狀體覈硬度I~芋級)的患者于晶狀體懸韌帶正常處中部作3.0mm帶毬結膜的角鞏膜緣隧道式切口,將覈劈開、擠壓或攪碎乳化後摘除併聯閤摺疊式人工晶狀體植入,人工晶狀體襻頂置入晶狀體懸韌帶斷裂處中間以複位囊袋,觀察手術併髮癥及術後視力變化。<br> 結果：術後視力均有不同程度提高,術後3mo視力0.2~0.4者5眼(19%),0.5~0.8者21眼(81%)；晶狀體位置不偏心者22眼(85%),輕度偏心(1~2mm)者4眼(15%)。術後24h內眼壓升高12眼(46%),2~7d後恢複正常。無其他嚴重術中、術後併髮癥。<br> 結論：對輕中度外傷性晶狀體半脫位閤併白內障採用3.0 mm角鞏膜緣隧道式切口的白內障手法碎覈乳化聯閤摺疊式人工晶狀體植入術,是一種較為簡便有效、安全的手術方式。
목적：탐토병관찰외상성정상체반탈위합병백내장적3.0 mm소절구백내장수법쇄핵유화적제연합절첩식인공정상체식입술적수술방법화수술효과。<br> 방법：대26례26안외상성정상체반탈위(현인대단렬범위≤120o)합병백내장(정상체핵경도I~우급)적환자우정상체현인대정상처중부작3.0mm대구결막적각공막연수도식절구,장핵벽개、제압혹교쇄유화후적제병연합절첩식인공정상체식입,인공정상체반정치입정상체현인대단렬처중간이복위낭대,관찰수술병발증급술후시력변화。<br> 결과：술후시력균유불동정도제고,술후3mo시력0.2~0.4자5안(19%),0.5~0.8자21안(81%)；정상체위치불편심자22안(85%),경도편심(1~2mm)자4안(15%)。술후24h내안압승고12안(46%),2~7d후회복정상。무기타엄중술중、술후병발증。<br> 결론：대경중도외상성정상체반탈위합병백내장채용3.0 mm각공막연수도식절구적백내장수법쇄핵유화연합절첩식인공정상체식입술,시일충교위간편유효、안전적수술방식。
AIM: To observe the surgical effects of the taumatic lens subluxation and cataract after manual fragmentation and emulsification of nucleus and foldable intraocular lens implantation. <br> METHODS: A 3. 0mm tunnel limbus incision was operated through the predicted bulbar conjunctiva and sclera on 26 cases ( 26 eyes ) with taumatic lens subluxation ( suspensory ligament rupture range less than 120 ) and cataract (Ⅰ ~ Ⅲ) . And after the manual fragmentation and emulsification of nucleus, foldable intraocular lens was implantated. Intraocular lens loop was imbedded in the middle of the lens zonular ligament breakup to reset the pouch. The surgical complications and postoperative vision changes were observed. <br> RESULTS:Three month after operation, 22 eyes had a intraocular lens centric position taking up 85% of the whole. Four eyes had a slightly eccentric position ( 1 ~2mm), taking up 15% of the whole. 21 eyes had their visual acuity 0. 5~0. 8, taking up 81% of the whole. Five eyes of visual acuity was 0. 2~0. 8. Within 24h intraocular pressure of 12 eyes (46%) after operation were elevated, and returned to normal after 2~7d. There was no severe complication during operation and postoperation. <br> CONCLUSION: The manual fragmentation and emulsification of nucleus and foldable intraocular lens implantation of the traumatic lens subluxation and the cataract through the 3. 0mm corneal sclera limbus tunnel incision is a simple and effective surgery.
