| 外伤性白内障的手术治疗探讨 |
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| 引用本文： | 徐哲,殷鸿波,刘谊. 外伤性白内障的手术治疗探讨[J]. 国际眼科杂志, 2009, 9(7): 1224-1225. DOI: 10.3969/j.issn.1672-5123.2009.07.002 |
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| 作者姓名： | 徐哲 殷鸿波 刘谊 |
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| 作者单位： | 1610041,中国四川省成都市,成都爱尔眼科医院;2610041,中国四川省成都市,四川大学华西医院眼科 |
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| 摘 要： | 目的:探讨联合手术治疗外伤性白内障的疗效。方法:角巩膜裂伤清创缝合、白内障摘除、人工晶状体植入、玻璃体切除联合手术治疗外伤性白内障73例(73眼)。结果:患者73例中,眼球钝挫伤27例,穿通伤46例,术后3mo矫正视力<0.05者5例(7%),0.05～0.3者17例(23%),>0.3者49例(67%),手术脱盲率为93%,2例(3%)眼球萎缩,平均随访时间7.8(3～15)mo。结论:掌握好联合手术的适应证,合理设计手术方式,巧妙地处理并发症,可以最大限度恢复患者的最佳视力。
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| 关 键 词： | 眼外伤 白内障 联合手术 |
Surgical treatment for traumatic cataract |
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| Zhe Xu,Hong-Bo Yin,Yi Liu. Surgical treatment for traumatic cataract[J]. International Eye Science, 2009, 9(7): 1224-1225. DOI: 10.3969/j.issn.1672-5123.2009.07.002 |
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| Authors: | Zhe Xu Hong-Bo Yin Yi Liu |
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| Affiliation: | Zhe Xu1,Hong-Bo Yin2,Yi Liu2 1Chengdu Aier Eye Hospital,Chengdu 610041,Sichuan Province,China 2Department of Ophthalmology,West China Hospital of Sichuan University,China |
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| Abstract: | ·AIM: To study the therapeutic effect of surgical treatment for traumatic cataract.·METHODS: Seventy-three cases(73 eyes) traumatic cataract were performed multi-operation combined cataract extraction, including insertion of a capsular tension ring(CTR), vitreoretinal surgery, ocular foreign body extraction and intraocular lens(IOL) implantation.·RESULTS: Of 73 patients, twenty-seven cases were blunt trauma, while 46 cases were penetrating injuries. Three months after surgery, the final best spectacle-corrected visual acuity(BSCVA) in 5 patients (7%) were 0.05 or less, seventeen(23%) 0.05 to 0.3, while 49(67%) 0.3 or more. There were 93% cases relieved from blindness. Atrophy of eyeball occurred in two cases(3%). Mean follow-up time was 7.8(range 3-15) months.·CONCLUSION: Useful vision can be restored in a proportion of traumatic cataracts after prompt and rational surgical intervention as well as appropriate treatment of sight-threaten complications. |
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| Keywords: | ocular trauma cataract combined surgery |
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