眼内异物合并外伤性白内障的联合手术治疗：附88例分析

眼内异物合并外伤性白内障是眼外伤常见的致盲原因之一,各地报告的致盲率为20%～48.9%。本文对88例眼内异物合并外伤性白内障患者采用联合手术治疗,收到较好疗效,术前视力0.05以下占85.2%,术后矫正视力0.05以下占27.3%,矫正视力0.06～1.5占73.7%,其中矫正视力0.6～1.5者占22.8%。根据异物的性质、在眼内部位和晶体损伤情况选择不同的手术方式一次联合手术摘出异物和白内障,术后采用中西药配合治疗。联合手术可提高疗效,减少术后并发症.减少手术次数,减轻病人的痛苦,缩短病程,减少医疗费用.眼科学报1993;9:216—218.

COMBINED OPERATION FOR THE FOREIGN BODY IN THE EYE COMPLICATED WITH TRAUMATIC CATARACT: AN ANALYSIS OF 88 CASES

The foreign body in the eye complicated with traumatic cataract is one of the common causes of blindness. The rate of blindness ranges from 20% to 48. 9%. This paper analyses combined operation for 88 cases of foreign body in the eye with traumatic cataract. The visual acuity below 0. 05 accounted for 85. 2% of the cases before operation and reduced to 27.3% after operation. Postoperatively, the corrected visual acuities were from 0. 06 to 1. 5 in 73. 3% of the cases and 0. 6 to 1. 5 in 22. 7% respectively. The patients should be treated with combined operation earlier. The way of operation depends on the property and the location of foreign body and the situation of lens. Chinese-Western medicine treatment should be used postoperatively to control the tissue response. Combined operation can improve the effect, reduce the complication,the number of operation and decrease medical expenses.