摘要
目的探讨角膜穿孔伤所致外伤性白内障摘出及人工晶状体植入的手术时机。方法回顾性地分析37例（37眼）角膜穿孔伤合并外伤性白内障的不同手术时间，术式和视力恢复情况。分别于伤后1d～1个月不同时间行超声乳化吸出术、I／A系统注吸术或囊外摘出术。一期或二期人工晶状体植入术。观察比较手术效果。结果术后随访1～3个月。37眼中2眼出现眼内炎，其中1眼眼球萎缩。术后裸眼视力为无光感～1．0，其中无光感者1眼（2．7％），眼前／手动者1眼（2．7％），0．05—0．1者3眼（8．1％），0．12～0．3者11眼（29．7％）0．4—1．0者21眼（56．8％），35眼无严重后遗症。结论对不同情况下外伤性白内障，应在不同的时机采用不同的手术方式治疗，大多数都能取得良好的效果。
Objective To investigate the timing of traumatic cataract surgery. Methods 37 cases （37 eyes） of traumatic cataract caused by corneal penetrating injury were retrospectively analyzed. They un- derwent cataract surgery by phacoemulsification or extracapsular cataract extraction combined with posterior intraocular lens implantation at different time during ld to lm after injury. Primary or secondary IOL implan- tation was done. Results After 1 to 3 months follow-up postoperatively, the visual acuity was between no light perception to 1. 0. It was no light perception in one eye （2.7%）, hand movement in one eye （2.7%）, 0.05 - 0. 1 in 3 eyes （ 8. 1% ）, 0. 12 - 0.3 in 11 eyes （29.7%）, 0.4 - 1.0 in 21 eyes （56.8%）. Infective endophthalmitis happened in two eyes in which one eye resulted in atrophy. Conclu- sion For traumatic cataract caused by corneal penetrating injury, suitable surgical timing and proper surgi- cal method is important for visual outcome.
出处
《中华眼外伤职业眼病杂志》
2012年第11期837-839,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
角膜穿孔伤
白内障
外伤性
晶状体
人工
后房型
植入
时机
Corneal penetrating injury
Traumatic cataract
Lens, intraocular, posterior chamber
Implantation
Timing
