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眼前段复合伤结构紊乱多联手术治疗

The Combined surgeries for anterior segment reconstruction

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【作者】 房建壮袁文晓尹彩芳

【Author】 FANG Jianzhuang, YUAN Wenxiao, YIN Caifang. Department of Oph- thalmology, The Second Peoples’ Hospital of Shandong Rongcheng, 264309

【机构】 山东省荣成市第二人民医院山东省荣成市第二人民医院 264309264309

【摘要】 目的 探讨眼前段复合伤结构紊乱多联手术的效果。方法 对24例眼前段外伤患者在局麻下分别行穿孔伤缝合、瞳孔成形术、浑浊晶状体摘出、前段玻切及人工晶状体植入术。结果19例Ⅰ期植入人工晶状体。6例瞳孔成形,随访1~24月,视力均较术前明显提高。结抡 严格掌握手术适应证并运用娴熟的技术,多联手术是眼前段结构紊乱重建、恢复视功能的首先术式之一。

【Abstract】 Objective To evaluate the methods and effects of combined surgeries for anterior segment reconstruction. Methods Anterior seg- ment reconstruction in 24 eyes includes: suturing of perforation wounds, reforming the pupil extraction traumatic cataract, anterior segment vit- rectomy and IOL implantation Results The primary posterior chamber intraocular lens were implanted in 19 eyes, pupil reformation was per- formed on 6 eyes. Follow up for 1 - 24 months, the postoperative visual acuities in 7 eyes were≥0.5 (29.3%), 12 eyes(50%) were in 0.2- 0.4, 5 eyes(20.7%) <0.2.Concluslon The Combined surgeries are the best operation modes in anterior segment reconstruction and visual acuity recovery . Proper selection of indication and skillful manipulation are the key points of the surgery.

【关键词】 眼外伤眼前段多联手术
【Key words】 Ocular trauma Anterior segment
  • 【文献出处】 眼外伤职业眼病杂志.附眼科手术 ,Chinese Journal of Ocular Trauma and Occupational Eye Disease(With Ophthalmic Surgery) , 编辑部邮箱 ,2002年01期
  • 【分类号】R779.6
  • 【被引频次】8
  • 【下载频次】29
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