摘要
目的:探讨外伤性白内障人工晶状体(IOL)植入术的效果及术式选择.方法:65例(65眼)外伤性白内障,一期植入后房型IOL 39例,手术距外伤时间3～24h;二期植入后房型IOL 26例,手术距外伤时间2个月～10年.结果:一期植入者脱盲率94.87%,脱残率66.67%;二期植入者脱盲率96.15%,脱残率69.23%,两者间无显著性差异(P＞0.05).术后并发症IOL前膜、后囊混浊,两者间存在显著性差异(P＜0.05).两种手术均无严重并发症.结论:对于外伤性白内障患者,只要掌握好适应证,应努力争取行一期植入术.
Ojective：To study the curative effect and the surgical methods with intraocular lens（IOL）implantation for case of traumatic cataract.Methods：65 cases（65 eyes）of traumatic cataract,39 eyes had been implanted PC IOL after 3 to 24 hours of sewing up the wound and cataract extraction,the other 26 eyes received secondary IOL implantation after more than 2 months to 10 years.Results：The out of blind rate was 94.87% and the out of incomplete rate was 66.67% for the primary implantation.The out of blind rate was 96.15% and the out of incomplete rate was 69.23% for the secondary implantation.There was no significant difference between them （P〉0.05）.The postoperative complications included exudative membrane of IOL and opacity of post capsula.There was significant difference between them （P〈0.05）.No serious complication was found in all the 65 cases.Conclusion：There are not notable difference in implantation between the primary and the seeondary corrective visual acuity of traumatic cataract.We should try the primary implantation in proper time.
出处
《中日友好医院学报》
2005年第4期214-217,共4页
Journal of China-Japan Friendship Hospital
关键词
外伤性白内障
手术时机
人工晶状体植入术
traumatic cataract
operation timing
intraocular lens implantation
