角巩膜穿孔伤合并外伤性白内障早期手术的疗效观察  

The analysis on the effects of early surgical treatment of traumatic cataract caused by perforating corneoscleral injuries

作　　者：周敏[1] 

机构地区：[1]苏州大学附属第三医院眼科,江苏省常州213003

出　　处：《临床眼科杂志》2006年第4期345-347,共3页Journal of Clinical Ophthalmology

摘　　要：目的 探讨角巩膜穿孔伤后外伤性白内障的早期手术效果。方法 对52例（52只眼）角巩膜穿孔伤合并外伤性白内障患者，全部行角巩膜伤口修补，同期或2周内行外伤性白内障摘除联合人工晶状体植入术。结果 术后最佳矫正视力：〈0．05者4只眼（7．69％），0．05～0．25者15只眼（28．85％），≥0．3者33只眼（63．46％）；较严重的并发症有继发性青光眼、角膜内皮功能失代偿和交感性眼炎；影响视力的主要原因是：玻璃体混浊、后发障及角膜瘢痕。结论 角巩膜穿孔伤合并外伤性白内障，术前掌握好适应证，早期手术（同期或间隔2周内）是安全有效的。Objective To discuss the early surgical treatment of traumatic cataract caused by perforating comeoscleral injuries. Methods We operated on fifty-two traumatic cataract eyes with ruptures of the eyeball. The traumatic cataracts were extracted and intraocular lenses were implanted immediately or in two weeks after corneal lacerations and sclera wounds were repaired. Results We statlsted the recfificatory eyesights after surgery. Four cases （ 7.69% ） bel- lowed 0.05 ; Fifteen cases （ 28.85% ） were among 0.05 ～ 0.25 ; Thirty-three cases （ 63.46% ） were above 0.25. Serious complications appeared, including secondary glaucoma, dysfunction of the corneal endotheeium, and sympathetic ophthalmia. Visualization was limited by media opacities, such as vitreous opacities, after cataract and corneal scarring. Conclusions If necessary, traumatic cataract can be surgical treated immediately or in two weeks after corneal lacerations and sclera wounds were repaired. The early surgery is safe and effective.

关 键 词：角巩膜穿孔伤 外伤性白内障 早期手术 人工晶状体 

分 类 号：R779.6[医药卫生—眼科]