AIM:To describe clinical findings and complications from cases of traumatic lens subluxation/dislocation in patients with secondary glaucoma,and discuss the multiple treating methods of operation combined with primary...AIM:To describe clinical findings and complications from cases of traumatic lens subluxation/dislocation in patients with secondary glaucoma,and discuss the multiple treating methods of operation combined with primary intraocular lens(IOL)implantation.METHODS:Non-comparativeretrospectiveobservational case series.Participants:30 cases(30 eyes)of lens subluxation/dislocation in patients with secondary glaucoma were investigated which accepted the surgical treatment by author in the Ophthalmology of Xi’an No.4Hospital from 2007 to 2011.According to the different situations of lens subluxation/dislocation,various surgical procedures were performed such as crystalline lens phacoemulsification,crystalline lens phacoemulsification combined anterior vitrectomy,intracapsular cataract extraction combined anterior vitrectomy,lensectomy combined anterior vitrectomy though peripheral transparent cornea incision,pars plana lensectomy combined pars plana vitrectomy,and intravitreal cavity crystalline lens phacofragmentation combined pars plana vitrectomy.And whether to implement trabeculectomy depended on the different situations of secondary glaucoma.The posterior chamber intraocular lenses(PC-IOLs)were implanted in the capsular-bag or trassclerally sutured in the sulus decided by whether the capsular were present.Main outcome measures:visual acuity,intraocular pressure,the situation of intraocular lens and complications after the operations.RESULTS:The follow-up time was 11-36mo(21.4±7.13).Postoperative visual acuity of all eyes were improved;28 cases maintained IOP below 21 mm Hg;2cases had slightly IOL subluxation,4 cases had slightlytilted lens optical area;1 case had postoperative choroidal detachment;4 cases had postoperative corneal edema more than 1wk,but eventually recovered transparent;2 cases had mild postoperative vitreous hemorrhage,and absorbed 4wk later.There was no postoperative retinal detachment,IOL dislocation,and endophthalmitis.CONCLUSION:To take early treatment of traumatic lens subluxation/dislocation展开更多
目的探究与分析围术期护理在联合手术治疗晶状体脱位继发青光眼的应用。方法 选取哈尔滨医科大学附属第一医院2013年4月~2016年4月收治的90例晶状体脱位继发青光眼患者,均给予标准三通道经睫状体扁平部玻璃体切割术治疗,采取随机数字表...目的探究与分析围术期护理在联合手术治疗晶状体脱位继发青光眼的应用。方法 选取哈尔滨医科大学附属第一医院2013年4月~2016年4月收治的90例晶状体脱位继发青光眼患者,均给予标准三通道经睫状体扁平部玻璃体切割术治疗,采取随机数字表法分为常规护理组与围术期护理组,每组各45例,对比两组患者治疗前后视力、眼压改善情况、焦虑抑郁情绪及并发症发生率。结果 两组患者术后比术前视力均有所提高,差异有统计学意义（P〈0.05）。围术期护理组较常规护理组相比术后视力提高更加显著,差异有统计学意义（P〈0.05）。两组患者手术后较手术前相比眼压降低,差异有统计学意义（P〈0.05）。常规护理组与围术期护理组术后眼压〈21 mm Hg（1 mm Hg=0.133 k Pa）、≥21 mm Hg所占比例比较,差异无统计学意义（P〉0.05）。两组患者护理后较护理前焦虑自评量表（SAS）及抑郁自评量表（SDS）量表评分均降低,围术期护理组较常规护理组相比上述评分降低更加显著,差异有统计学意义（P〈0.05）。围术期术中术后并发症发生率为20.00%,围术期护理组术中术后并发症发生率为6.67%,围术期护理组较常规护理组相比术中术后并发症发生率明显降低,差异有统计学意义（P〈0.05）。结论 于手术基础上加重围术期护理的临床效果明显优于常规护理,治疗后可提高手术视力,进一步改善眼压,降低并发症发生率。展开更多
AIM:To evaluate the visual and refractive outcomes in cases after sutured scleral fixation of existing subluxated or dislocated acrylic one-piece intraocular lenses(IOLs).METHODS:This study retrospectively enrolled a ...AIM:To evaluate the visual and refractive outcomes in cases after sutured scleral fixation of existing subluxated or dislocated acrylic one-piece intraocular lenses(IOLs).METHODS:This study retrospectively enrolled a consecutive series of patients who underwent a surgery of sutured existing subluxated or dislocated IOLs from October 2018 to June 2020.All patients underwent comprehensive preoperative and postoperative ophthalmologic examination,and data were collected including age,sex,surgical indications,best-corrected visual acuity,refractive error,intraocular pressure.Presence of intraoperative and postoperative surgical complications was documented.RESULTS:A total of 20 consecutive cases were enrolled for analysis with mean final follow-up period 9.8±5.3mo.Visual acuity improved from a mean of 0.35(0.46±0.32 logMAR)preoperatively to 0.61(0.21±0.18 logMAR)at the 3-month follow-up(P=0.002).The mean amount of preoperative keratometric astigmatism and total postoperative refractive astigmatism was-1.24±0.80 diopters(D)and-1.42±0.97 D,respectively.There was no statistically significant difference between preoperative and postoperative astigmatism(P=0.156).The mean IOL-induced astigmatism was-0.23±0.53 D.The mean spherical equivalent at the 3-month follow-up was-0.1±0.94 D.No major complications were noted during the follow-up period.CONCLUSION:Surgical techniques using sutured scleral fixation of existing subluxated or dislocated acrylic one-piece IOLs result in favorable visual and refractive outcomes without major complications.展开更多
文摘AIM:To describe clinical findings and complications from cases of traumatic lens subluxation/dislocation in patients with secondary glaucoma,and discuss the multiple treating methods of operation combined with primary intraocular lens(IOL)implantation.METHODS:Non-comparativeretrospectiveobservational case series.Participants:30 cases(30 eyes)of lens subluxation/dislocation in patients with secondary glaucoma were investigated which accepted the surgical treatment by author in the Ophthalmology of Xi’an No.4Hospital from 2007 to 2011.According to the different situations of lens subluxation/dislocation,various surgical procedures were performed such as crystalline lens phacoemulsification,crystalline lens phacoemulsification combined anterior vitrectomy,intracapsular cataract extraction combined anterior vitrectomy,lensectomy combined anterior vitrectomy though peripheral transparent cornea incision,pars plana lensectomy combined pars plana vitrectomy,and intravitreal cavity crystalline lens phacofragmentation combined pars plana vitrectomy.And whether to implement trabeculectomy depended on the different situations of secondary glaucoma.The posterior chamber intraocular lenses(PC-IOLs)were implanted in the capsular-bag or trassclerally sutured in the sulus decided by whether the capsular were present.Main outcome measures:visual acuity,intraocular pressure,the situation of intraocular lens and complications after the operations.RESULTS:The follow-up time was 11-36mo(21.4±7.13).Postoperative visual acuity of all eyes were improved;28 cases maintained IOP below 21 mm Hg;2cases had slightly IOL subluxation,4 cases had slightlytilted lens optical area;1 case had postoperative choroidal detachment;4 cases had postoperative corneal edema more than 1wk,but eventually recovered transparent;2 cases had mild postoperative vitreous hemorrhage,and absorbed 4wk later.There was no postoperative retinal detachment,IOL dislocation,and endophthalmitis.CONCLUSION:To take early treatment of traumatic lens subluxation/dislocation
文摘目的探究与分析围术期护理在联合手术治疗晶状体脱位继发青光眼的应用。方法 选取哈尔滨医科大学附属第一医院2013年4月~2016年4月收治的90例晶状体脱位继发青光眼患者,均给予标准三通道经睫状体扁平部玻璃体切割术治疗,采取随机数字表法分为常规护理组与围术期护理组,每组各45例,对比两组患者治疗前后视力、眼压改善情况、焦虑抑郁情绪及并发症发生率。结果 两组患者术后比术前视力均有所提高,差异有统计学意义（P〈0.05）。围术期护理组较常规护理组相比术后视力提高更加显著,差异有统计学意义（P〈0.05）。两组患者手术后较手术前相比眼压降低,差异有统计学意义（P〈0.05）。常规护理组与围术期护理组术后眼压〈21 mm Hg（1 mm Hg=0.133 k Pa）、≥21 mm Hg所占比例比较,差异无统计学意义（P〉0.05）。两组患者护理后较护理前焦虑自评量表（SAS）及抑郁自评量表（SDS）量表评分均降低,围术期护理组较常规护理组相比上述评分降低更加显著,差异有统计学意义（P〈0.05）。围术期术中术后并发症发生率为20.00%,围术期护理组术中术后并发症发生率为6.67%,围术期护理组较常规护理组相比术中术后并发症发生率明显降低,差异有统计学意义（P〈0.05）。结论 于手术基础上加重围术期护理的临床效果明显优于常规护理,治疗后可提高手术视力,进一步改善眼压,降低并发症发生率。
文摘AIM:To evaluate the visual and refractive outcomes in cases after sutured scleral fixation of existing subluxated or dislocated acrylic one-piece intraocular lenses(IOLs).METHODS:This study retrospectively enrolled a consecutive series of patients who underwent a surgery of sutured existing subluxated or dislocated IOLs from October 2018 to June 2020.All patients underwent comprehensive preoperative and postoperative ophthalmologic examination,and data were collected including age,sex,surgical indications,best-corrected visual acuity,refractive error,intraocular pressure.Presence of intraoperative and postoperative surgical complications was documented.RESULTS:A total of 20 consecutive cases were enrolled for analysis with mean final follow-up period 9.8±5.3mo.Visual acuity improved from a mean of 0.35(0.46±0.32 logMAR)preoperatively to 0.61(0.21±0.18 logMAR)at the 3-month follow-up(P=0.002).The mean amount of preoperative keratometric astigmatism and total postoperative refractive astigmatism was-1.24±0.80 diopters(D)and-1.42±0.97 D,respectively.There was no statistically significant difference between preoperative and postoperative astigmatism(P=0.156).The mean IOL-induced astigmatism was-0.23±0.53 D.The mean spherical equivalent at the 3-month follow-up was-0.1±0.94 D.No major complications were noted during the follow-up period.CONCLUSION:Surgical techniques using sutured scleral fixation of existing subluxated or dislocated acrylic one-piece IOLs result in favorable visual and refractive outcomes without major complications.
