外伤性白内障手术112例临床分析

目的:分析外伤性白内障手术治疗的临床效果,探讨人工晶状体(IOL)植入时机。方法:选择外伤性白内障112例112眼,其中Ⅰ期行IOL植入35例,Ⅱ期IOL植入77例,分析其手术治疗的临床效果。结果:Ⅰ期和Ⅱ期IOL植入者手术后视力均明显提高,两者术后视力提高程度的差异无统计学意义(P>0.05);Ⅰ期IOL植入者术后的葡萄膜炎、角膜水肿、IOL前膜及后囊混浊并发症明显多于Ⅱ期IOL植入者,差异有统计学意义(P<0.01)。结论:IOL植入是治疗外伤性白内障、恢复视力唯一有效的方法,Ⅰ期IOL植入虽然术后并发症多于Ⅱ期,经过治疗对术后的视力无影响,并且避免了二次手术。

Clinical analysis of surgical treatment for 112 cases with traumatic cataract

AIM: To analyze the clinical effect of surgical treatment for traumatic cataract, and explore the appropriate time for intraocular lens(IOL)implantation.

METHODS: The clinical data of 112 cases(112 eyes)of surgical treatment for traumatic cataract were retrospectively analyzed, 35 cases were implanted IOL. The other 77 eyes received secondary implantation.

RESULTS: The visual acuity of the patients by primary and secondary implantation improved obviously, but there was no statistically significance in post-operative visual acuity between primary and secondary implantation(P>0.05). In primary implantation the postoperative complications included uveitis, corneal bedewing, exudative membrane of IOL and opacity of post capsula, which were apparently higher than secondary implantation, with significant difference between each other(P<0.01).

CONCLUSION: IOL implantation is the only effective means of treatment for traumatic cataract and vision recovery. Though the postoperative complications of primary implantation is more than secondary implantation, it makes no difference to the vision after treatment, avoids second operation.