摘要
目的 评价眼挫伤所致晶状体脱位的手术治疗的临床效果.方法 对我院2003年1月～2006年4月眼挫伤致晶状体脱位29例（29眼）的资料作回顾性研究,根据不同情况采用不同的手术方式,包括前房内晶状体的圈匙托出及前段玻璃体切除术;玻璃体内的晶状体切除术及玻璃体切除术;半脱位者行晶状体乳化或囊外摘出术,并均植入人工晶状体;伴青光眼或视网膜脱离者,同时行抗青光眼手术及视网膜复位手术.结果 手术效果良好,19例（65.52%）视力提高,术后并发症有玻璃体积血3例：玻璃体疝3例,反应性葡萄膜炎1例.结论 根据晶状体脱位的位置及前后段的情况合理选择手术方式,可取得良好的手术效果.
Objective To study the method of surgical management for the lens dislocation and evaluate the clinical results. Methods 29 cases with lens dislocation were surgically managed by various ways according to clinical manifestations, including the anterior chamber lens spelt out and anterior vitrectomy; resection of the lens in vitreous and vitrectomy; subluxation were treated with phacoemulsification or extracapsular cataract extraction and intraocular lens implantation; those with glaucoma or retinal detachment were simultaneously treated with glaucoma surgery and reposition of retinal detachment. Results 19 cases had higher corrected visual acuity after surgery. The complication were slight vitreous hemorrhage in 3 cases, vitreous extrusion in 3 cases and temporary uveitis in 1 ease. Conclusions For the management of lens dislocation,it is very important to select the right surgical method.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第5期342-343,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
