小切口白内障囊外摘除术中后囊膜破裂一期植入前房型人工晶状体与后房型人工晶状体的疗效比较  

Comparison of the treatment effect of the implantation of anterior chamber intraocular lens and posterior chamber intraocular lens in small incision extracapsular cataract extraction with posterior capsular ruptureⅠ

作　　者：杨钊[1] 黎海平[1] Yang Zhao Li Haiping.(Department of Ophthalmology, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, 530023, Chin)

机构地区：[1]广西中医药大学第一附属医院眼科,南宁530023

出　　处：《中华眼科医学杂志（电子版）》2017年第1期38-43,共6页Chinese Journal of Ophthalmologic Medicine(Electronic Edition)

基　　金：国家少数民族事务局光明健康科学论证基金(13-B000911)

摘　　要：目的对比小切口白内障囊外摘除术中后囊膜破裂一期植入前房型人工晶状体与后房型人工晶状体的治疗效果。方法收集2012年11月至2014年12月在广西中医药大学第一附属医院眼科行小切口白内障囊外摘除术中后囊膜破裂一期的100例(100只眼)患者的临床资料,进行对照研究。将全部患者分为两组,即前房型人工晶状体组和后房型人工晶状体组。前房型人工晶状体组患者共50例(50只眼),在小切口白内障囊外摘除术中后囊膜破裂一期植入前房型人工晶状体;后房型人工晶状体组患者共50例(50只眼),在小切口白内障囊外摘除术中后囊膜破裂一期植入后房型人工晶状体。前房型人工晶状体组和后房型人工晶状体组患者治疗后的平均裸眼视力以均数±标准差(x珋±s)表示,组间比较采用独立样本t检验。前房型人工晶状体组和后房型人工晶状体组患者术后并发症的发生率以例数和百分数(%)表示,采用χ2检验进行组间比较。结果后房型人工晶状体组和前房型人工晶状体组患者在治疗1个月后的平均裸眼视力分别为0.5±0.1和0.8±0.2。将两组患者的术后裸眼视力进行比较,差异有统计学意义(t=9.49,P<0.05)。其中,有2例(2只眼)前房型人工晶状体组患者在治疗后出现并发症,分别为视网膜脱离1例(1只眼)和玻璃体积血1例(1只眼)。该组患者的并发症发生率为4.0%(2/50)。有8例(8只眼)后房型人工晶状体组患者在治疗后出现并发症,分别为视网膜脱离3例(3只眼)、青光眼3例(3只眼)及玻璃体积血2例(2只眼)。该组患者的并发症发生率为16.0%(8/50)。将两组患者的并发症发生率进行比较,差异有统计学意义(χ2=4.00,P<0.05)。结论小切口白内障囊外摘除术中后囊膜破裂一期植入前房型人工晶状体较植入后房型人工晶状体的短期治疗效果更好。Objective Comparing the treatment effect of the implantation of anterior chamber intraocular lens and posterior chamber intraoeular lens in small incision extracapsular cataract extraction with posterior capsular rupture Ⅰ. Methods The clinical data of 100 cases （ 100 eyes） who have accepted small incision extracapsular cataract extraction with posterior capsular rupture I in the department of ophthalmology of the First Affiliated Hospital of Guangxi University of Chinese Medicine were collected from November 2012 to December 2014 for our retrospective case-control study. Patients were separated into 2 groups： anterior chamber intraocular lens group and posterior chamber intraocular lens group. In anterior chamber intraocular lens group, there were 50 cases （50 eyes ） who have implanted anterior chamber intraoeular lens in small incision extracapsular cataract extraction with posterior capsular rupture Ⅰ ; in posterior chamber intraocular lens group, there were 50 cases （50 eyes） who have implanted posterior chamber intraocular lens in small incision extracapsular cataract extraction with posterior capsular rupture Ⅰ. After treatment, the naked eye visual acuity of patients in posterior chamber intraocular lens group and anterior chamber intraocular lens group were presented as mean ± standard deviation （-x±s）. The comparison between two groups was compared by independent sample t-test. At the same time, the postoperative complications in posterior chamber intraocular lens group and anterior chamber intraocular lens group were presented as numbers and the percentage （%）. The comparison between two groups was compared byχ2 test. Results After the treatment for 1 month, the naked eye visual acuity of posterior chamber intraoeular lens group and anterior chamber intraocular lens group were 0.5±0.1 and 0.8±0.2 respectively. Comparing the naked eye visual acuity of two groups, the difference was statistically significant （t = 9.49, P〈0.05）. After the treatment, 2 patients in ante

关 键 词：白内障摘除术 后囊膜破裂 小切口 人工晶状体 前房 后房 治疗效果 

分 类 号：R779.66[医药卫生—眼科]