外伤性白内障摘除术后不同时期植入人工晶体的眼底病发生率的差别

Difference of Retina incidence rate caused by intraocular lens implantation in different periods after Traumatic cataractopiesis

目的探讨外伤性白内障摘除术后不同时期植入人工晶体的眼底病发生率的差别。方法外伤性白内障患者110例(112只眼)全部行后房型人工晶体植入,其中Ⅰ期植入81例(82眼),Ⅱ期植入29例(30眼)。结果Ⅰ期植入人工晶体术后视力在0.3以上71眼(86.59%),0.5以上27眼(32.93%)。Ⅱ期植入人工晶体术后视力在0.3以上26眼(86.67%),0.5以上6只眼(20.00%)。Ⅱ期植入人工晶体在术中并发眼内出血及术后人工晶体移位发生率方面明显高于Ⅰ期植入术。结论Ⅰ期和Ⅱ期植入人工晶体均能提高术后视力,Ⅰ期植入人工晶体,术中出血发生率低,术后人工晶体偏离中心发生率小。Ⅱ期植入术后炎症反应轻,术中容易并发性出血,术后易发生人工晶体移位。

Objective To explore the difference of Retina incidence rate caused by intraocular lens implantation in different periods after Traumatic cataractopiesis.Methods 110 patients with traumatic cataract （112 eyes） of all rows of posterior chamber intraocular lens implantation, implantation Ⅰ, 81 cases （82 eyes）, Ⅱ implantation in 29 cases （30 eyes）. Results Ⅰ intraocular lens implantation in postoperative visual acuity of 0.3 or more in 71 eyes （86.59%）, more than 0.5 in 27 eyes （32.93%）. Ⅱ intraocular lens implantation in postoperative visual acuity of 0.3 or more in 26 eyes （86.67%）, more than 0.5 in 6 eyes （20.00%）. Ⅱ intraocular lens implantation in complicated surgery and postoperative intraocular hemorrhage intraocular lens shift the incidence was significantly higher than in stage Ⅰ implantation. Conclusion Ⅰ and Ⅱ intraocular lens implantation could improve visual acuity, Ⅰ intraocular lens implantation, a low incidence of bleeding and postoperative incidence of intraocular lens off-center in small. Ⅱ of inflammation after implantation of light, easy concurrency intraoperative bleeding, postoperative intraocular lens prone to shift.