角膜穿通伤合并外伤性白内障最佳手术时机及手术方式的探讨.docVIP

角膜穿伤合并外伤性白内障最佳手术时机及手术方式的探讨【摘要】? 目的探讨角膜穿白内障手术时机及手术。方法将例(眼)角膜穿伤合并白内障患者分为A、B两组，A组例，行角巩膜伤缝合时行白内障囊外摘除联合人工晶状体植入术；B组例，行角巩膜伤缝合后-60天期再行白内障联合人工晶状体植入术。观察两组病人术后视力及并发症。结果术后年，矫正视力≥0.5者，期植入眼，期植入者眼矫正视力≥者，期植入眼，期植入眼其余12例视力0.05～0.5，期植入者例，期植入者例差异均无显著性(P＞0.05)。组期白内障联合人工晶状体植入术A组术后角膜水肿、虹膜炎症反应、后囊膜混浊等的发生率均高于B组。结论?角膜穿孔伤伴外伤性白内障手术治疗效果满意，但以伤后天内行白内障联合人工晶状体植入术，效果更安全可靠，并发症少期。【关键词】? 角膜穿伤? 外伤性白内障? 手术时机?? 前部玻璃体切割术 人工晶体 Investigate the Best Timing and Way of Penetrating Corneal Laceration and Traumatic Cataract Surgery YU Xiao-rui*, WANG Xue-zhen *Ophthalmology Department of Datong No.3 People’s Hospital in Shan Xi Province,Datong,037006,China. [Abstract]Objective:Penetratingcorneal laceration and traumatic cataract phacoemulsification time and intraocular lens implantation combined advantages. Methods: 45 cases (45 eyes) of corneal penetrating injury with traumatic cataract were randomly divided into A, B groups, A group of 20 patients, Phase Ⅰcorneoscleral wound debridement surgery simultaneously traumatic cataract extraction and intraocular lens implantation; B group of 20 patients, After corneoscleral wound debridement 15-60 days Operate phaseⅡSurgery of traumatic cataract phacoemulsification and intraocular lens implantation; Observed postoperative complications and visual acuity. Results: Patients were followed up 1 to 5 years; After one year,Corrected visual acuity was ≥ 0.5, Phase Ⅰwas 7 eyes, Phase Ⅱwas 12 eyes; Corrected visual acuity was ≥ 0.8, Phase Ⅰwas 6 eyes, Phase Ⅱwas 8 eyes; The Others 12 case visual acuity was 0.05 ~ 0.5, Phase Ⅰwas 7 eyes, Phase Ⅱwas 5 eyes; There was no significant difference(P＞0.05) Complications of A group inclouded four cases of secondary glaucoma ,3 cases of choroidal detachment ,2 cases of ciliary body detachment, and longer treatment duration. The patients in group B occurred preoperative 3 cases of glaucoma,2 cases of choroidal detachment ,3 cases of ciliary body detachment，However, lighter than the A group，andafter conservative treatment in phaseⅡOpe