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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 被引量:5

Secondary suspended intraocular lens implantation after ocular trauma with lens-vitrectomy
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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。 Objective: To evaluate the effect of secondary suspended intraocular lens implantation after ocular trauma with leus-vitrectomy. Method: Twenty-one cases (21eyes) of ocular trauma were subjected to leus-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. Condusions: 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.
出处 《山东大学耳鼻喉眼学报》 CAS 2007年第2期174-176,共3页 Journal of Otolaryngology and Ophthalmology of Shandong University
关键词 眼损伤 无晶体眼 玻璃体切割 晶体 人工 Eye injuries Aphaka Paes plana vitrectomy Lenses, intraocular
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