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
6期
453-455
,共3页
王宇冉%杨白冰%侯习武%苗青
王宇冉%楊白冰%侯習武%苗青
왕우염%양백빙%후습무%묘청
手术,白内障,并发性%葡萄膜炎%虹膜切除术,周边
手術,白內障,併髮性%葡萄膜炎%虹膜切除術,週邊
수술,백내장,병발성%포도막염%홍막절제술,주변
Surgery,cataract,complicated%Uveitis%Iridectomy,peripheral
目的 评价周边虹膜切除术在葡萄膜炎并发白内障手术中的临床意义.方法 临床病例对照研究.葡萄膜炎并发白内障且虹膜后粘范围＞ 270°者40例(56眼),随机分为两组:A组为试验组,白内障超声乳化人工晶状体植入联合周边虹膜切除术,20例(30眼),B组为对照组,单纯超声乳化人工晶状体植入术,20例(26眼).随访6～12个月,观察术后最佳矫正视力、眼压及并发症.结果 术后1周,A组28眼(93.33％)视力较术前提高,B组25眼(96.54％)视力较术前提高.两组差异无统计学意义(x2=1.5163,P=0.267).至末次随访,视力≥0.3者,A组占40.00％,B组占30.77％,两组差异有统计学意义(x2=9.9715,P=0.049).术后随访期内,A组眼压均在正常范围内,B组有12眼(46.15％)眼压升高,两组比较,差异有统计学意义(x2=12.7176,P=0.0017).结论 对于葡萄膜炎并发白内障且虹膜广泛后粘的患者,超声乳化人工晶状体植入术中联合周边虹膜切除术,在预防术后虹膜与人工晶状体再次粘连引起的眼压升高中起到关键作用.
目的 評價週邊虹膜切除術在葡萄膜炎併髮白內障手術中的臨床意義.方法 臨床病例對照研究.葡萄膜炎併髮白內障且虹膜後粘範圍＞ 270°者40例(56眼),隨機分為兩組:A組為試驗組,白內障超聲乳化人工晶狀體植入聯閤週邊虹膜切除術,20例(30眼),B組為對照組,單純超聲乳化人工晶狀體植入術,20例(26眼).隨訪6～12箇月,觀察術後最佳矯正視力、眼壓及併髮癥.結果 術後1週,A組28眼(93.33％)視力較術前提高,B組25眼(96.54％)視力較術前提高.兩組差異無統計學意義(x2=1.5163,P=0.267).至末次隨訪,視力≥0.3者,A組佔40.00％,B組佔30.77％,兩組差異有統計學意義(x2=9.9715,P=0.049).術後隨訪期內,A組眼壓均在正常範圍內,B組有12眼(46.15％)眼壓升高,兩組比較,差異有統計學意義(x2=12.7176,P=0.0017).結論 對于葡萄膜炎併髮白內障且虹膜廣汎後粘的患者,超聲乳化人工晶狀體植入術中聯閤週邊虹膜切除術,在預防術後虹膜與人工晶狀體再次粘連引起的眼壓升高中起到關鍵作用.
목적 평개주변홍막절제술재포도막염병발백내장수술중적림상의의.방법 림상병례대조연구.포도막염병발백내장차홍막후점범위＞ 270°자40례(56안),수궤분위량조:A조위시험조,백내장초성유화인공정상체식입연합주변홍막절제술,20례(30안),B조위대조조,단순초성유화인공정상체식입술,20례(26안).수방6～12개월,관찰술후최가교정시력、안압급병발증.결과 술후1주,A조28안(93.33％)시력교술전제고,B조25안(96.54％)시력교술전제고.량조차이무통계학의의(x2=1.5163,P=0.267).지말차수방,시력≥0.3자,A조점40.00％,B조점30.77％,량조차이유통계학의의(x2=9.9715,P=0.049).술후수방기내,A조안압균재정상범위내,B조유12안(46.15％)안압승고,량조비교,차이유통계학의의(x2=12.7176,P=0.0017).결론 대우포도막염병발백내장차홍막엄범후점적환자,초성유화인공정상체식입술중연합주변홍막절제술,재예방술후홍막여인공정상체재차점련인기적안압승고중기도관건작용.
Objective To evaluate the of clinical significance of peripheral iridectomy in the surgery for uveitis complicated cataract.Methods This is a clinical case-control study.Forty patients (56 eyes) of uveitis complicated cataract with iris posterior synechiae range ＞ 270 ° were randomly divided into two groups.Twenty patients (30 eyes) in group A received cataract phacoemulsification and intraocular lens implantation combined with peripheral iridectomy.And 20 cases (26 eyes) in group B received phacoemulsification and intraocular lens implantation only.The followe-up time was 6 ～ 12 months.The postoperative visual acuity, intraocular pressure and complications were observed.Results At one week after operation, the visual acuity improved in 28 eyes (93.33％) in group A, and 25 eyes (96.54％) in group B.The difference in postoperative vision between the two groups was not statistically significant (x2 =1.5163, P =0.267).At the last follow-up, the patients whose visual acuity was batter than 0.3 accounted for 40.00％ in group A and 30.77％ in group B , and the difference was statistically significant (x2 =9.9715, P =0.049).During postoperative follow-up period, the intraocular pressure (IOP) of all patients in group A was in the normal range, and it was increased in 12 eyes (46.15％) in group B, the difference was statistically significant (x2 =12.7176,P =0.0017).Conclusion For the uveitis complicated cataract with wide range posterior synechia of iris, phacoemulsification and intraocular lens implantation combined with peripheral iridectomy plays an important role in preventing the high intraocular pressure caused by adhesion of IOL and iris.
