晶状体摘出联合玻璃体切除治疗外伤性晶状体脱位  

Lens extraction combined with vitrectomy in the treatment of traumatic lens dislocation

作　　者：秦晶晶[1] 宋愈[1] 黄黎黎[1] 

机构地区：[1]南通市第一人民医院(南通大学第二附属医院),江苏南通226001

出　　处：《中华眼外伤职业眼病杂志》2012年第12期931-932,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析晶状体摘出联合玻璃体切除治疗外伤性晶状体脱位的治疗过程和术后效果。方法闭合性眼球外伤所致的晶状体脱位24例（24眼）行晶状体摘出联合玻璃体切除手术治疗，同时悬吊植入人工晶状体，玻璃体腔内填充C3F8气体。结果术后随访8个月。观察期内无角膜失代偿和严重眼内炎性反应。7例1～2个月内出现不同程度的眼压增高，调整药物治疗后，3例眼压控制，其余4例因被发现房角损害而再行小梁切除手术治疗，术后眼压控制良好。3例术后1个月发生视网膜脱离，再次行玻璃体切除手术治疗，术中发现均为锯齿缘损害，给予眼内激光光凝和填充硅油治疗，观察期内视网膜平伏。结论联合手术治疗外伤性晶状体脱位的手术效果根据晶状体脱位程度和眼内组织损伤的程度而定，外伤本身导致的远期并发症将影响联合手术的效果。Objective To analyze course of treatment and post-operative effects of lens extraction combined with vitrectomy in the treatment of traumatic lens dislocation. Methods The lens extraction com- bined with vitrectomy was performed on 24 patients（ 24 eyes） with ocular trauma from January 2010 to June 2011. We played suspended intraocular lens implantation, and filled C3 Fs gas in the vitreous cavity. Results After the surgery, follow-up of patients have been 8 months. There was no corneal decompensation, or severe ocular inflammatory response in the observation period. There were 7 patients in 1 -2 months with different degree of elevated intraocular pressure. 4 patients found chamber angle damage were treated by trabeculecto- my surgery. 3 cases of postoperative patients with retinal detachment occurs after one month.. We found dia- lyses in vitrectomy. Conclusion Effect of combined surgical treatment of traumatic lens dislocation, may be according to the degree of dislocation of the lens and the extent of tissue damage in the eye. Long term complications as a result of the trauma itself will affect the combined effect.

关 键 词：晶状体脱位 晶状体摘出 玻璃体切除术 眼外伤 

分 类 号：R779.6[医药卫生—眼科]