晶状体玻璃体切割联合巩膜固定及人工晶体植入术的应用  

Lensectomy,vitrectomy and scleral fixation of intraocular lens implant for contusion cataract.

作　　者：周华[1] 蔡宁[1] 袁援生[1] 杨敏佳[1] 

机构地区：[1]昆明医学院第一附属医院眼科,云南昆明650032

出　　处：《云南医药》2001年第1期34-35,共2页Medicine and Pharmacy of Yunnan

摘　　要：To study the surgical management of cataract and lens dislocation in patients with complications of closed-globe injury using lensectomy,vitrectomy and scleral fixation of posterior chamber intraocular lens(PCIOL).Methods 30 patients (31 eyes)of contusion cataract with closed-globe injury were undergone with lensctomy,vetrictomy and scleral fixation of PCIOL.Results Mean follow-up of 10 24 months,postoperative visual acuity of 29 eyes(80 65%)improved to 0 2 or better.Final best-corrected visual acuity was 0 5 or better in 14 eyes(45 16%).Postoperative problems such as traumatic or glaucomatous optic atrophy(2 eyes),cystoid macular edema (1 eye)and amblyopia(1 eye)were noted.Conclusions In patients with cataract after a closed-globe injury undergoing lensectomy,vitrectomy and scleral fixation of PCIOL,a visual acuity improvement may achieve in a majority of them.To study the surgical management of cataract and lens dislocation in patients with complications of closed-globe injury using lensectomy,vitrectomy and scleral fixation of posterior chamber intraocular lens(PCIOL).Methods 30 patients (31 eyes)of contusion cataract with closed-globe injury were undergone with lensctomy,vetrictomy and scleral fixation of PCIOL.Results Mean follow-up of 10 24 months,postoperative visual acuity of 29 eyes(80 65%)improved to 0 2 or better.Final best-corrected visual acuity was 0 5 or better in 14 eyes(45 16%).Postoperative problems such as traumatic or glaucomatous optic atrophy(2 eyes),cystoid macular edema (1 eye)and amblyopia(1 eye)were noted.Conclusions In patients with cataract after a closed-globe injury undergoing lensectomy,vitrectomy and scleral fixation of PCIOL,a visual acuity improvement may achieve in a majority of them.

关 键 词：挫伤性白内障 人工晶体植入术 晶状体玻璃体切割 巩膜固定 

分 类 号：R776.105[医药卫生—眼科]