山东大学耳鼻喉眼学报

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眼外伤晶体玻璃体切除术后Ⅱ期悬吊人工晶体植入术

张 杰,修方伟,张海霞   

  1. 日照市人民医院眼科, 山东 日照 276826
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-04-24 发布日期:2007-04-24
  • 通讯作者: 张 杰

Secondary suspended intraocular lens implantation after ocular trauma with lens-vitrectomy

ZHANG Jie,XIU Fang-wei,ZHANG Hai-xia   

  1. Department of Ophtthalmology,Rizhao People's Hospital,Rizhao 276826,Shandong,China
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-04-24 Published:2007-04-24
  • Contact: ZHANG Jie

摘要: 目的:总结眼外伤行晶体玻璃体切除术后Ⅱ期悬吊人工晶体植入术的方法和疗效。方法:选择眼外伤后行晶体玻璃体切除术后的患者21例(21眼),均具有矫正视力>0.2、眼压稳定、眼底情况良好之条件,于3~6个月后行Ⅱ期悬吊人工晶体植入术。结果:随访1~6个月,平均4.5个月。矫正视力>0.5者6眼,0.3~0.5者10眼,0.1~0.2者4眼,<0.1者1眼。0.3及以上视力者16眼(80%)。术后裸眼视力比术前明显提高,矫正视力差异不大。结论:对于眼外伤行晶体玻璃体切除术后的患者,待眼部情况稳定3~6个月后行Ⅱ期悬吊人工晶体植入术是提高视力的理想方法,但要求术者需要具备一定的眼前后节手术经验,选择合适的病例。

关键词: 眼损伤, 无晶体眼, 玻璃体切割, 晶体, 人工

Abstract: Objective: To evaluate the effect of secondary suspended intraocular lens implantation after ocular trauma with lens-vitrectomy. Method: Twentyone cases (21eyes) of ocular trauma were subjected to lensvitrectomy, those whose corrected vision was 0.2 or more and intraocular pressure and eyeground were normal were subjected to the secondary suspended intraocular lens implantation 3 to 6 months later. Results: During a followed-up of 1 to 6 months (average 4.5 months), the corrected vision of 6 cases (6 eyes) was up to 0.6 or more, of 10 cases (10 eyes) was up to 0.3 to 0.5, of 4 cases (4 eyes) was between 0.1 to 0.2, and of 1 case was less than 0.1. The postoperative uncorrected vision was significantly higher than the preoperative, but the postoperative corrected vision was not significantly different from the preoperative. Conclusions: Secondary suspended intraocular lens implantation is a reasonable surgery for ocular trauma 3 to 6 months after lens-vitrectomy, but this needs experienced skill and proper cases.

Key words: Eye injuries, Aphaka, Paes plana vitrectomy, Lenses, intraocular

中图分类号: 

  • R776.1
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