摘要
目的 :评价晶状体、玻璃体联合手术治疗外伤性晶状体脱位或半脱位的临床疗效。方法 :对 1993年 10月～ 2 0 0 0年 5月连续收治的外伤性晶状体脱位或半脱位 36例作回顾性研究。所有患眼根据病情均采用不同的术式去除脱位晶状体 ,包括角巩缘切口圈套娩出、睫状体扁平部切口行晶状体切除或超声晶状体粉碎 ,同时切割玻璃体 ,并应用小梁切除、阀门管植入术、玻璃体视网膜手术联合治疗因晶状体脱位引起的并发症 ,17例Ⅰ期植入前房或后房型人工晶状体。结果 :所有患眼成功的去除晶状体 ,91 7%患眼视力有不同程度提高 ,5 2 3 %患眼视力≥ 0 3 ,继发青光眼患者术后眼压获得控制 ,6例视网膜脱离全部复位。结论 :各种手术方法联合应用治疗外伤性晶状体脱位及其所致并发症 ,视力增进效果明显。
Objective:To evaluate the efficacy of combined surgical approaches in the management of dislocated lenses.Methods:Clinical records were reviewed retrospectively for a series of consecutive 36 patients with traumatic dislocated lens (including subluxation) underwent lens and vitreous surgery from October 1993 to March 2000.According to various clinical features,different surgical approaches were performed to these cases,including extraction of dislocated lens by snare through a limbal incision,lensectomy or phacofragmentation through pars plana incisions and vitrectomy.Some cases combined with trabeculectomy or valved tube implantation and vitreoretinal surgery to treat complications caused by dislocated lens,and in 17 cases,primary anterior or posterior chamber intraocular lens were implanted.Results:All dislocated or subluxated lenses were removed completely,33 of 36 eyes(91.7%) achieved improved visual acuity,19 eyes (52.8%) got 0.3 or better visual acuity,IOP in all eyes were normal all,6 eyes which had retinal detachment gained anatomic retinal attachment after surgery.Conclusions:The combination of different surgical approaches in the management of traumatic dislocated lenses and the complications caused by injury gives good visual rehabilitation.Valved tube implantation is an effective surgical method to treat the refractory glaucoma resulted from severe ocular trauma.
出处
《眼科》
CAS
2001年第5期268-270,共3页
Ophthalmology in China
