摘要
目的分析手术方式对晶状体脱位疗效的影响。方法回顾性分析解放军总医院2010年1月至2015年5月晶状体脱位患者46例(66眼)的临床资料。晶状体脱位患者根据病因分为先天性(36眼)、外伤性(8眼)、自发性(22眼)三类,采用晶状体超声乳化吸出、闭合式玻璃体切除联合晶状体切除,或在前述手术基础上联合视网膜、青光眼等其它的手术方式。结果脱位的晶状体选择合理的手术方式均成功摘除,术后矫正视力51眼(77.3%)提高,7眼(10.6%)不变,8眼(12.1%)下降。结论晶状体脱位的手术方法依据脱位程度、位置及是否存在并发症而定,晶状体超声乳化吸出、玻璃体切除联合晶状体切除术是治疗晶状体脱位较有效的手术方法,合理的手术方式或联合手术均能取得较好的疗效。
Objective To analyze the impact of different surgical treatments on lens dislocation. Methods Retrospective analysis of 46 patients （66 eyes） with lens dislocation in Chinese PLA General Hospital from January 2010 to May 2015 was performed. The lens dislocation was divided into congenital （36 eyes）, traumatic （8 eyes ）, and idiopathic （22 eyes ） according to the etiology. Phacoemulsification, vitreoretinal surgery and glaucoma surgery were used to treat the patients. Results The dislocation lens was successfully removed in a reasonable way. The visual acuity was improved in 51 eyes （77.3 % ） , unchanged in 7eyes （ 10.6% ）, and decreased in 8 eyes （ 12.1% ）. Conclusion The surgical methods are determined based on the lens dislocation reasons, severity and complications. The lens phacoemulsification, and closed vitrectomy combined with lens surgery are effective methods for treating lens dislocation. It is important to select proper surgery or joint surgery to achieve satisfactory results.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2016年第4期416-418,共3页
Journal of Third Military Medical University
