摘要
目的 探讨影响儿童外伤性白内障人工晶状体植入视力的相关因素。方法 对 13 1例手术进行临床研究 ,随访2~ 3 6月。结果 本组矫正视力在 0 3以上达 62 5 % ,其中3 5 83 %达 0 5以上。相关分析显示年龄与术后视力呈正线性相关 (r=0 .5 0 5 6,P <0 .0 1)。在 6~ 8岁年龄组 ,术后脱残率明显低于 9~ 14岁患者 (P <0 .0 1)。采取IOL袢缝线固定者 ,术后脱残率较未进行者低 (P <0 .0 5 )。本资料显示无玻璃体脱出、前房积血、纤维蛋白膜形成及后囊浑浊者 ,术后脱残率较有此并发症者有明显优势 (P <0 .0 1)。结论 术后脱残率与低年龄组、手术方式、玻璃体脱出、术后前房积血。
Objective To investigate the related factors for visual rehabilitation in children's traumatic cataract after IOL implantation.Methods 131 case of children's traumatic cataract with implantation of IOL were studied.Follow up was from 2 to 36 months.Results The result showed that the corrected visual acuity better than or equal to 0.5 and 0.3 were 35.83% and 62.5%,and statistics revealed that there was positive relationship between visual acuity and age ( r=0.5056,P<0.01) .The rehabilitation rate in the group of age 6~8 was lower than 9~14 ( P<0.01) and the rehabilitation rate of the patient after transscleral fixation was lower than those without transscleral fixation.Patients without complication such as prolapsed vitreous,hyphema,fibrinous membrane formation and posterior capsular opacification had higher rehabilitation rate than those had complication ( P<0.01) .Conclusion The successful rate of IOL implantation in children's traumatic cataract is closely related to age,implantation scleral fixated IOL,prolapsed vitreous,hyphema,fibrinous membrane formation and posterior capsular opacification.
出处
《眼外伤职业眼病杂志》
北大核心
2002年第3期282-284,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries