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出 处:《眼外伤职业眼病杂志》2005年第6期425-426,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
摘 要:目的分析晶状体脱位的手术时机及手术方法。方法35例(35眼)晶状体脱位进行玻璃体切除及晶状体切除或晶状体摘出其中33例采用三通道睫状体平坦部入口,2例采用角膜缘入口法。结果术后视力提高30眼,视力不变4眼,视力下降1眼。手术并发症:前房及玻璃体积血5例,锯齿缘断离1例。结论玻璃体切除及晶状体切除或晶状体摘出是晶状体脱位有效的治疗方法。Objective To discuss the surgical management and the opportunity of lens dislocation. Methods Different surgical approaches were performed in 35 patients (35 eyes) of lens dislocation,including three-passage ciliary pars plana incision in 33 cases,limbal incision in 2 cases.All patients received vitrectomy and lensectomy. Results Compared with preoperative visual acuity,30 eyes improved,4 eyes unchanged,and 1 eye decreased.6 cases had postoperative complications,including hyphema and vitreous hemorrhage in 5 cases,ora serrata dialysis in 1 case. Conclusion Vitrectomy and lensectomy are the most efficient treatments for patients of lens dislocation.
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