论文部分内容阅读
目的:观察双线性带灌注的玻璃体切割器治疗外伤性白内障植入IOL的疗效.方法:经巩膜隧道切口,彻底清除脱入前房的玻璃体及混杂在一起的晶体皮质,尽量保护好残留的晶体后囊膜、前囊膜,植入后房型人工晶体18例18眼。术后随访6个月。结果:术后18例18眼的视力较术前均有明显提高,其中0.1以下为3眼.0.1-0.3为9眼,0.3-0.5为4眼,0.5～0.8为2眼,经配对t检验P<0.01,差异有显著性意义。视力恢复的情况与角膜穿通伤及眼后段的损伤程度密切相关.结论:该手术具有安全性高、术后炎症反应轻、并发症少等优点,是治疗伴有其它眼部损伤的外伤性白内障的有效治疗方法.
OBJECTIVE: To observe the curative effect of bilinear vitreous cutter with perfusion for traumatic cataract implantation in IOL.Methods: The scleral tunnel incision was used to completely remove the vitreous and mixed cortical tissues which were separated into the anterior chamber and try to protect the residual 18 posterior capsule, anterior capsule and 18 posterior chamber intraocular lens were implanted. The patients were followed up for 6 months. Results: The visual acuity of 18 eyes in 18 eyes was significantly higher than that before the operation, of which 3 were below 0.1, 9 eyes were 0.1-0.3, 4 eyes were 0.3-0.5, and 2 eyes were 0.5-0.8. The paired t test P <0.01, the difference was significant. The situation of visual acuity restoration is closely related to the penetrating cornea injury and the degree of damage in the posterior segment of the eye.Conclusion: The surgery has the advantages of high safety, less postoperative inflammatory response and less complications, and is an effective method to treat traumatic injury accompanied by other eye injuries Effective treatment of cataract.