外伤性白内障的手术治疗探讨(英文)

Surgical treatment for traumatic cataract

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。

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.