摘要
目的 观察保留晶状体前囊对硅油眼并发症的影响。 方法 82只眼行玻璃体切割联合晶状体切除手术 ,其中 30只眼术中保留完整晶状体前囊 ,5 2只眼未保留前囊 ,随访观察硅油并发症的发生情况。 结果 有前囊组硅油并发症的发生率为 2 3.3%、无前囊组为 5 0 .0 % (0 .0 10 <P<0 .0 2 5 )。后者主要有继发性青光眼 (2 1.2 % )、角膜带状变性 (13.5 % )和角膜内皮失代偿 (9.6 % )。 结论 保留晶状体前囊可以减少硅油眼并发症的发生。
Objective To observe the effect of preservation of anterior lens capsule on the incidence of complications associated with silicone oil. Methods Eighty-two patients(82 eyes)accepted trans pars plana vitrectomy combined with lensectomy,30 eyes with preservation of anterior lens capsule (PAC) and 52 eyes with no preservation of anterior capsule(NPAC)were observed.The incidence of complications was analysed to investigate whether PAC could reduce the complications associated with the usage of tamponade of silicone oil. Results The incidence was 50.0% in NPAC group,and 23.3% in PAC group(0.010<P<0.025).There were secondary glaucoma(21.1%),band keratopathy(13.5%)and corneal decompensation(9.6%)in NPAC group,while there was none of them in PAC group. Conclusion Preservation of anterior lens capsule is an effective measure to reduce the complicaltons associated with the tamponade of silicone oil.
出处
《中华眼底病杂志》
CAS
CSCD
2001年第1期41-43,共3页
Chinese Journal of Ocular Fundus Diseases