【关键词】 外伤性白内障;囊膜破裂;人工晶体植入术
【摘要】 目的 探讨囊膜破裂的外伤性白内障摘除Ⅰ期人工晶体植入术的临床疗效及安全性。方法 术中利用黏弹剂配合玻璃体切割术,对35眼囊膜已破裂的外伤性白内障,进行手术摘除及Ⅰ期人工晶体植入术。结果 术后矫正视力≥0.5者30眼,占85.7%;0.1~0.4者4眼,占11.43%;0.1以下者1眼,占2.8%。未见任何严重手术并发症发生。结论 由于显微手术的开展,黏弹剂及玻璃体切割术的应用,复杂的囊膜破裂的外伤性白内障摘除Ⅰ期人工晶体植入术已变得安全、有效。
【关键词】 外伤性白内障;囊膜破裂;人工晶体植入术
Traumatic cataract extraction with capsula broken and intraocular lens implantation
LIU Fang-mei, ZENG Guang-chuan. Yuebei People’s Hospital, Shaoguan 512026, China
【Abstract】 Objective To study the clinical effects and the safety of the operation of extraction traumatic cataract of capsula broken and first intraocular lens implantations.Methods Of 35 cases of traumutic cataract were operated by the way mentioned above,in which we used gluey Healon and vitrectomy.Results The post operative spectacle corrected visual acuity of 30 eyes (85.7%) was better than 0.5,4 eyes(11.43%) 0.1~0.4.1 eyes(2.8%)<0.1.There were no any serious operative complications.Conclusion In modern microsurgical conditions and gluey Healon and vitrectomy,the multiple traumutic cataract's extraction and first intraocular lens implantation are safety and effective.
【Key words】 traumutic cataract;broken capsula;intraocular lens implantation
自1999年6月~2005年6月,我院对囊膜破裂的外伤性白内障35例35眼进行手术摘除并植入人工晶体,取得较好效果,现总结资料报告如下。
1 资料与方法
1.1 一般资料 本组病例35例,男23例,女12例,年龄15~55岁,平均28.6岁。所有病例均经术前检查除外大范围中央性角膜损伤,其中8例角膜伤口不大,已自行闭合,入院后1~3天手术,20例在角膜伤口缝合后即刻行白内障摘除及Ⅰ期人工晶体植入术,7例在异物取出术后1周行白内障摘除加人工晶状体植入术;35例中单纯前囊膜破裂12眼,前后囊膜均破裂,晶状体组织与玻璃体组织混杂23眼,伴有虹膜损伤者23例。
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