保留周边部前囊膜的玻璃体晶状体联合手术的临床观察

Clinical observation of combined lensectomy with vitrectomy,retaining the peripheral anterior lens capsule

目的:探讨玻璃体切割联合晶状体切除保留周边部前囊膜治疗需行晶状体切除联合玻璃体切割术的眼外伤的临床疗效。方法:诊断为眼外伤并需行晶状体切除联合玻璃体切割术的患者33例33眼,采用保留周边部前囊膜的晶状体切除术联合玻璃体切割术,术后Ⅱ期植入人工晶状体,随访6mo,观察视力、眼内压(IOP),人工晶状体位置,术中及术后并发症。结果:所有患者视力均有不同程度提高,未发生明显的晶状体偏位和青光眼、视网膜脱离等并发症。结论:玻璃体切割联合晶状体切除术保留周边部前囊膜治疗需行晶状体切除联合玻璃体切割术的眼外伤,减少了术中和术后并发症,视力恢复良好。

AIM： To investigate the curative effect of retaining the peripheral anterior lens capsule combined lensectomy with vitrectomy for ocular trauma.METHODS： Totally 33 patients（ 33 eyes） with eye trauma underwent combined lensectomy with vitrectomy,retaining the peripheral anterior lens capsule and phase Ⅱposterior chamber IOL implantation. After follow- up of6 mo, visual acuity, intraocular pressure（ IOP）, IOL position, and intraoperative and postoperative complications were observed.RESULTS： Visions of all the patients were improved at varying degrees. After follow-up of 6mo,no obvious lens deflected and serious complications（ glaucoma,retinal detachment） appeared.CONCLUSION： Combined lensectomy with vitrectomy,retaining the peripheral anterior lens capsule for ocular trauma has good curative effects of lessening complications during operation and postoperation and good visual acuity recovery.