摘要
目的探讨外伤性晶体半脱位的手术治疗。方法 50例(50眼)外伤性晶体半脱位患者采用晶体摘除联合前房内、前部玻璃体切除,重塑眼前段治疗;Ⅱ期行后房型人工晶体双袢双针缝线固定术。结果两次手术完成后,随访6月以上,矫正视力≥0.3者30眼(占60%),0.3～0.1者9眼(占18%),<0.1者11眼(占22%)。结论外伤性晶体半脱位治疗采用晶体摘除联合前房内、前部玻璃体切除术以及Ⅱ期行后房型人工晶体双袢双针缝线固定术是有效且理想的。
Objective To investigate the surgical treatment of traumatic lens dislocation.Methods Clinical records of 50 patients（50 eyes） with traumatic lens in our hospital over the last 6 years were reviewed.All patients were treated with combined Methods of lens extraction,anterior vitrectomy,remodeling of anterior segment,and then received secondary implantation of two sutures fixation of posterior chamber intraocular lens.Results After 2 surgeries and follow-up for 6 months,there were 37 eyes with corrected visual acuity more than 0.5（76%）,9 eyes with corrected visual acuity from 0.5 to 0.3（18%）,2 eyes with corrected visual acuity from 0.3 to 0.1（4%）,and 2 eyes with corrected visual acuity less than 0.1（4%）.Conclusions Lens extraction and anterior vitrectomy combined with secondary implantation of two sutures fixation of posterior chamber intraocular lens is an effective and ideal method to treat traumatic lens subluxation.
出处
《实用医院临床杂志》
2011年第6期143-144,共2页
Practical Journal of Clinical Medicine
