论文部分内容阅读
目的:探讨外伤性白内障人工晶状体(IOL)植入术的效果及术式选择。方法:65例(65眼)外伤性白内障,一期植入后房型IOL39例,手术距外伤时间3~24h;二期植入后房型IOL26例,手术距外伤时间2个月~10年。结果:一期植入者脱盲率94.87%,脱残率66.67%;二期植入者脱盲率96.15%,脱残率69.23%,两者间无显著性差异(P>0.05)。术后并发症IOL前膜、后囊混浊,两者间存在显著性差异(P<0.05)。两种手术均无严重并发症。结论:对于外伤性白内障患者,只要掌握好适应证,应努力争取行一期植入术。
Objective: To investigate the effect and surgical choice of traumatic cataract surgery with intraocular lens (IOL) implantation. Methods: Totally 65 cases (65 eyes) had traumatic cataract. One case received posterior chamber IOL implantation in 39 cases. The operation time ranged from 3 to 24 hours. Two cases of posterior chamber IOL were implanted in 26 cases. The operation time ranged from 2 months to 10 years. Results: The rate of blindness was 94.87% and the rate of disability was 66.67% in the first stage. The rate of blindness was 96.15% and the disability rate was 69.23% in the second stage. There was no significant difference between the two groups (P> 0.05). Postoperative complications IOL anterior membrane, posterior capsule opacity, there was a significant difference between the two (P <0.05). No serious complications were found in both procedures. Conclusion: For traumatic cataract patients, as long as indications are indicted, one-stage implantation should be strived for.