角膜裂伤合并虹膜脱出经前房眼内路径整复虹膜术疗效分析

Analysis the effect of iris repair via anterior chamber in the primary repair surgery for corneal perforating injury with iridoptosis

目的评价角膜裂伤合并虹膜脱出I期清创缝合术中经前房眼内路径整复虹膜的临床疗效。方法46例（46只眼）在I期手术中行角膜缘穿刺口，经该口进行前房内路整复虹膜的手术操作（A组）。32例（32只眼）在术中直接从角膜伤口整复虹膜（B组）。术后随访3-6个月。结果术后两组最佳矫正视力均明显提高，A组术后平均视力0．43±0．23，B组术后平均视力O．28±0．21，差异有统计学意义（f=2．67，P〈0．05）。A组I级虹膜复位37例（37／42占88．10％），B组I级虹膜复位11例（11／26占42．31％）。结论此手术方法安全有效，减少手术并发症，临床疗效优于传统直接从角膜伤口复侍女丁膜的方法，

Objective To evaluate me errect pair surgery of corneal perforating injury with iridoptosis. Methods There were 46 cases adopted the method of corneal limbus incision in the primary repair surgery that iris repair was practiced via anterior chamber （group A）. There were 32 cases adopted the method that iris repair was practiced via corneal wound directly （group B）. They were followed-up for 3 to 6 months after surgery. Re- suits The best corrected visual acuity after operations of two groups was significantly improved. The average visual acuity was 0.43±0.23 of group A, and 0.28±0.21 of group B. There was a statistical- ly significant difference （P 〈0.05）. The effective power of iris repair was 67.39% in group A, and 37.50% in group B. There also was statistically significant difference between the two groups （P 〈 0.05）. Conclusions The method is effective and decreases the complications. The clinical efficacy is superior to the traditional method of iris repair via corneal wound directly.