外伤性晶状体脱位的手术治疗

Surgical treatment of traumatic lens dislocation.

目的 探讨外伤性晶状体脱位的手术治疗原则。方法 总结 1998～ 2 0 0 2年间收治的 5 3例外伤性晶状体脱位的资料回顾性统计分析 ,取出晶状体的方法及手术效果。结果 均成功地摘出晶状体 ,5 8 5 0 %患眼视力不同程度的提高 ,继发性青光眼、眼压得到控制 ,合并视网膜脱离者术后视网膜复位。结论 晶状体脱位的治疗方法根据脱位晶状体位置、是否存在并发症而定。

Objective To study the principle of surgical treament of traumatic lens dislocation.Methods Fifty-three cases of traumatic lens dislocation from 1998 to 2002 were studied.Different surgical methods were used depending on the position of dislocated lens and its complication.Results All lens were successfully removed, 58.5% eyes got vision improvement in different degree.In the case with secondry glaucoma,intraocular pressure was controlled.Also retina was reattached in the cases combined with retinal detachment.Conclusion Surgical treatment of patients with traumatic lens dislocation should depend on the position of the dislocated lens with or without complication,and combined surgery is better for complicated one.