白内障摘除联合I期前段玻璃体切除治疗外伤性白内障的疗效观察

目的观察清创缝合白内障摘除联合I期前段玻璃体切除治疗外伤性白内障的疗效。方法外伤性白内障患者100例，50例行清创缝合白内障摘除联合I期前段玻璃体切除的患者为观察组，50例行Ⅱ期前段玻璃体切除患者为对照组，比较两组患者术后视力水平、并发症及生活质量。结果术后1、2、3、4周时，观察组患者的视力水平均明显高于对照组（P〈0．05）。观察组患者发生继发性青光眼、视网膜脱离、瞳孔粘连变形、葡萄膜炎等并发症明显低于对照组（p〈0．05）。术后2、4、8、12周时，观察组患者的生活质量评分明显高于对照组（P〈0．05）。结论清创缝合白内障摘除联合I期前段玻璃体切除是治疗外伤性白内障患者的理想方法。有助于改善视力水平，减少并发症，提高生活质量。

Objective To study the effect of debridement cataract extraction with one-stage anterior vitrcctomyon visual quality and complications of patients with traumatic cataract caused by penetrating ocular injury. Methods Paticnts with traumatic cataract caused by penetrating ocular injury were collected for studied, patients received debridement cataract extraction with one-stage anterior vitrectomyon were enrolled in observation group and patients received two-stage anterior vitrectomyon were enrolled in control group. Then visual acuity, cases of complications and quality of life were compared. Results （ 1 ） Vision levels： 1 week, 2 weeks, 3 weeks and 4 weeks after surgery, observation group vision levels were significantly higher than control group （ P〈0.05 ） . （ 2 ） Complications： observation group secondary glaucoma, retinal detachment, adhesions pupil deformation, uveitis eta complications were significantly lower than control group （ P〈0.05 ） . （ 3 ） Quality of life： 2 week, 4 weeks, 8 weeks and 12 weeks after surgery, observation group quality of life score were significantly higher than those of control group （ P〈0.05 ） . Conclusion Debridement cataract extraction with one-stage anterior vitrectomyon is helpful to improve visual acuity and reduce cases of complications, improve quality of life; it＇s an ideal way to treat traumatic cataract caused by penetrating ocular injury.