经平坦部切除外伤性白内障

来源 :眼外伤职业眼病杂志(附眼科手术) | 被引量 : 0次 | 上传用户:lingwei99
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眼球的外伤常引起白内障,通常分为二类:一是外伤性白内障;另一种是外伤性后发白内障.前者采用一般的囊外抽吸摘除效果不太好,此外还可采用经后路进行切除.我们于1981年起采用玻璃体切除器经平坦部切除外伤性白内障收到满意的效果.一般情况:共86例,年龄16~70岁,16~~35岁84例,50岁以上2例.男76例,女10例.金属异物眼球穿通伤43例,非金属异物穿通伤4例,眼球挫伤4例,破裂伤4例,化学伤9例.存有眼内异物3例,玻璃体出血56例,视网膜脱离4例,眼内炎2例.视力为光感(包括光投射不确)13例,手动和数指57例,0.01~0.05共15例,无光感1例.受伤后经手术治疗时间,1个月内30例,1~3月35例,6月~2年17例,2年以后4例. Eye trauma often cause cataracts, usually divided into two categories: one is traumatic cataracts; the other is traumatic cataract after trauma. The former using the general extracapsular suction removal is not very good, in addition to the adoption of the posterior We performed a resectable resection of the traumatic cataract with a flat resection using a vitrectomy device since 1981. General conditions: A total of 86 patients aged 16 to 70 years old, 16 to 35 years old and 84 patients aged 50 and over. Cases of male and 76 cases, female 10. Metal foreign body penetrating injury in 43 cases, non-metallic foreign body penetrating injury in 4 cases, 4 cases of eye contusion, laceration in 4 cases, chemical injury in 9 cases. There are 3 cases of intraocular foreign body, vitreous Bleeding in 56 cases, retinal detachment in 4 cases, endophthalmitis in 2 cases.The visual acuity was light perception (including light projection is not accurate) in 13 cases, manual and digital means 57 cases, 0.01 ~ 0.05 in 15 cases, no light perception in 1 case. After surgery time, 30 cases within 1 month, 35 cases from January to March, June to 2 years in 17 cases, 4 cases after 2 years.
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