摘要
目的 评估剥脱综合征眼行白内障超声乳化人工晶体植入术术中并发症及术后视力效果。 方法 剥脱综合征患者行白内障超声乳化人工晶体植入术 ,19例 2 1只眼 ,年龄 6 7～ 92岁 ,平均 (80 2± 7 5 )岁。剥脱综合征平均病程 (7 0± 4 3)年。 5只眼合并青光眼。非剥脱综合征患者 4 2例5 0只眼 ,年龄 6 1～ 91岁 ,平均 (79 5± 8 5 )岁。所有手术由有经验术者完成 ,术后观察 1年。 结果 剥脱综合征和非剥脱综合征两组中 ,后囊破裂 ,玻璃体丢失分别为 9 5 %及 2 0 % ,(P <0 0 1) ,两组间差异有显著性。 1年后复查 ,视力在 0 5及以上者分别是 85 7%及 92 0 % (P <0 0 1) ,两组间差异有显著性。超声生物显微镜 (UBM)检查所有后房型人工晶体均位于囊袋内 ,1例前房型人工晶体位置正。 结论 虽然术中并发症较正常眼稍偏高 ,但白内障超声乳化人工晶体植入术对剥脱综合征患者来讲是较安全的。由于部分剥脱综合征患者合并青光眼 ,影响了术后视力恢复 ,故剥脱综合征患者如患有白内障 ,应及早手术。
Objective To evaluate the intraoperative complication and postoperative visual acuity effect of phacoemulsification in patients with pseudoexfoliation syndrome. Methods Phacoemulsification and intraocular lens(IOL) implantation was performed on 21 eyes of 19 pseudoexfoliation patients, aged 67-92 years old and (80.24±7.46) years old on average with the history of the disease being (7±4.3) years. Five eyes in Group 1 were complicated with glaucoma. In Group 2, phacoemulsification and IOL implantation was performed on 50 eyes in 42 patients with non-pseudoexfoliation syndrome, 〔aged 61-91 years, mean age (79.52±8.53) years〕. All operations were completed by one surgeon, and followed up for 1 year. Results In both Group 1 and Group 2, the occurrence of posterior capsular tear and vitreous body loss were 9.5% and 2.0%, respectively(P<0.01), and visual acuity returned to 0.5 or better in 85.7% and 92.0% of patients, respectively(P<0.01) one year after operation(P<0.05). Ultrasound biomicroscope(UBM) examination showed that all posterior chamber intraocular lenses were in the capsular bag, and centrally located in anterior chamber IOL in one such operation case. Conclusions Although the occurrence of intraoperative complications for pseudoexfoliation syndrome is higher in Group 1, yet phacoemulsification and IOL implantation is safe. Some pseudoexfoliation syndrome patients with glaucoma take longer for recovery of visual acuity. Therefore, the phacoemulsification should be performed as early as possible in pseudoexfoliation syndrome patients with cataract.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2002年第5期347-349,共3页
Chinese Journal of Geriatrics
