摘要
目的探讨外伤性晶状体脱位合并瞳孔散大的手术治疗方法、技巧及临床效果。方法回顾性分析2013年6月至2016年3月间，51例（51只眼）外伤性晶状体脱位患者中，39例39眼伴有外伤性瞳孔散大患者行晶状体摘除联合瞳孔成形术的临床效果。结果本组患者合并外伤性瞳孔散大发生率82．4％，术后随访3-22个月，术后3个月视力大于0．1者31只眼，畏光等不适症状明显减少。结论外伤性晶状体脱位的患者，伴有外伤性瞳孔散大的比率较高，在摘除脱位晶状体及植入人工晶状体的同时，进行瞳孔成形术缩小瞳孔，能明显提高患者视力，有效减轻或消除畏光及眩光等因瞳孔散大引起的不适症状。
Objective To explore the operative method of traumatic lens dislocatioia combined with pupil dilation. Methods Retrospectively analyzing 39 eyes of 39 patients with pupil dilation in 51 cases（51 eyes） of traumatic lens clislocatinen from June 2013 to March 2016 who were treated with lensectomy and pupiloplasty. Results In this group, traumatic pupillary dilation occurred in 82.4% of traumatic lens dislocation. Following 3 to 22 months, 3 months after operation the visual acuity 〉 0.1 were in 31 eyes,photophobia and other symptoms were obviously reduced. Conclu-sions In patients with traumatic dislocation of the lens,accompanied by a large proportion of traumat-ic pupil dilation. After Removalling of the lens and implanting of intraocular lens, pupiloplasty to re-duce the pupil diametre can significantly improve visual acuity and effectively reduce or eliminate many discomfort symptoms by mydriasis,such as photophobia,glare and the others.
作者
钟海彬
徐帆
李敏
陈丽妃
黄慧
ZHONG Haibin;XU Fan;LI Min;CHEN Lifei;HUANG Hui(Department of Ophthalmology,People＇s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)
出处
《中国实用眼科杂志》
2017年第9期924-926,共3页
Chinese Journal of Practical Ophthalmology
