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
2015年
3期
199-202
,共4页
白内障,外伤性%撕囊,环形,连续,后囊
白內障,外傷性%撕囊,環形,連續,後囊
백내장,외상성%시낭,배형,련속,후낭
Cataract,traumatic%Capsulorhexis,curvilinear,continuous,posterior
目的 观察伴有后囊破裂的外伤性白内障在白内障摘出手术中行后囊连续环形撕囊术的临床效果.方法 后囊破裂的外伤性白内障43例(43眼)分为两组;观察组25例(25眼)行白内障摘出联合后囊环形撕囊及人工晶状体植入术;对照组18例(18眼)行常规白内障摘出人工晶状体植入术.比较两组术后视力及术中、术后并发症.结果 两组术中并发症及人工晶状体位置的差异有统计学意义(P＜0.05).术后随访3个月,视力及后囊浑浊、囊样黄斑水肿差异有统计学意义(P＜0.05),观察组术后视力优于对照组,术中术后并发症少于对照组.结论 术中后囊环形撕囊,能显著提高后囊破裂的外伤性白内障的手术效果,避免术后并发症.
目的 觀察伴有後囊破裂的外傷性白內障在白內障摘齣手術中行後囊連續環形撕囊術的臨床效果.方法 後囊破裂的外傷性白內障43例(43眼)分為兩組;觀察組25例(25眼)行白內障摘齣聯閤後囊環形撕囊及人工晶狀體植入術;對照組18例(18眼)行常規白內障摘齣人工晶狀體植入術.比較兩組術後視力及術中、術後併髮癥.結果 兩組術中併髮癥及人工晶狀體位置的差異有統計學意義(P＜0.05).術後隨訪3箇月,視力及後囊渾濁、囊樣黃斑水腫差異有統計學意義(P＜0.05),觀察組術後視力優于對照組,術中術後併髮癥少于對照組.結論 術中後囊環形撕囊,能顯著提高後囊破裂的外傷性白內障的手術效果,避免術後併髮癥.
목적 관찰반유후낭파렬적외상성백내장재백내장적출수술중행후낭련속배형시낭술적림상효과.방법 후낭파렬적외상성백내장43례(43안)분위량조;관찰조25례(25안)행백내장적출연합후낭배형시낭급인공정상체식입술;대조조18례(18안)행상규백내장적출인공정상체식입술.비교량조술후시력급술중、술후병발증.결과 량조술중병발증급인공정상체위치적차이유통계학의의(P＜0.05).술후수방3개월,시력급후낭혼탁、낭양황반수종차이유통계학의의(P＜0.05),관찰조술후시력우우대조조,술중술후병발증소우대조조.결론 술중후낭배형시낭,능현저제고후낭파렬적외상성백내장적수술효과,피면술후병발증.
Objective To observe the clinical effect of posterior continuous curvilinear capsulorhexis in traumatic cataract with posterior capsular rupture.Methods Twenty-five 25 eyes of 25 patients were selected as clinical trial group and other 18 eyes of patients as control group.In trial group,traumatic cataract extraction,primary IOL implantation and posterior continuous curvilinear capsulorhexis were performed,while in control group,routine traumatic cataract extracion and IOL implantation were fulfilled.The visual acuity and surgical complications were compared between two groups.The follow-up period was 3 months.Results The differences of surgical complications and IOL position between two groups were statistically significant (P ＜ 0.05).Three months after operation,the differences of visual acuity,posterior capsular opacity,cystoid macular edema betweenin two groups were statistically significant (P ＜ 0.05).The visual acuity of trial group was better than that of control group,and the incidence rate of surgical complications in control group was higher than that in trial group.Conclusion Posterior continuous curvilinear capsulorhexis can improve the therapeutic effect and prevent surgical complications for traumatic cataract with posterior capsular rupture.
