外伤性白内障眼内异物晶状体玻璃体联合手术(英文)

目的:分析超声乳化玻璃体切除眼内异物取出人工晶状体植入联合术治疗外伤性白内障眼内异物的疗效。方法:回顾分析13例(13眼)眼球穿通伤外伤性白内障眼内异物患者行超声乳化玻璃体切除眼内异物取出人工晶状体植入联合术的术中,术后并发症及术后最佳矫正视力。术后随访2~12mo。结果:13例患者(男10例,女3例)平均年龄36.8(17~65)岁。所有患者眼内异物均取出。4例术中于玻璃体切除眼内异物取出后植入人工晶状体,5例于联合术后二期植入人工晶状体,4例患者未植入人工晶状体。术后最佳矫正视力为手动~0.8.最佳矫正视力0.5以上者4眼,0·1~0.4者5眼,0.1以下者4眼。术中发生玻璃体出血3例,术后发生视网膜脱离2例,二次手术视网膜复位。结论:超声乳化玻璃体切除人工晶体植入联合术治疗白内障眼内异物伤是安全有效的方法。患者术后的视功能取决于角膜、巩膜和视网膜损伤部位及病变程度。

Combined lens and vitreoretinal surgery in patients with traumatic cataract and intraocular foreign body

·AIM: To analyze the postoperative anatomical and functional outcomes as well as complications after combined phacoemulsification, pars plana vitrectomy (PPV), removal of the intraocular foreign body (IOFB) and intraocular lens (IOL) implantation in patients with traumatic cataract and intraocular foreign body.·METHODS: Medical records of 13 patients (13 eyes)with traumatic cataract and IOFB who had undergone combined phacoemulsification, PPV, foreign body extraction and IOL implantation were retrospectively analyzed. The postoperative follow-up ranged from 2 to 12 months. The main measurements of outcomes were the extraction success of cataract and intraocular foreign body, intraoperative and postoperative complications and the final best corrected visual acuity (BCVA).·RESULTS: The mean age of 13 patients (10 male, 3 female ) was 36.8 years (range: 17-65 years). All eight lOFBs were removed. Four intraocular lenses were implanted after vitrectomy intraoperatively. In 5 cases, intraocular lenses were implanted during the second operation. Intraocular lenses were not implanted in 4 cases. BCVA at last ranged from 0.8 to hand movement. BCVA was 0. 5 or better in four eyes, 0.1 to 0. 4 in five eyes, less than 0.1 in four eyes. Intraoperative complications were encountered in 3 patients. They had vitreous hemorrhage. Postoperative complications were encountered in 2 patients. They had retinal detachment. The reoperations of the two patients were successful.·CONCLUSION; The combined phacoemulsification,PPV, removal of IOFB and IOL implantation is safe and effective for patients with traumatic cataract and intraocular foreign body. The visual outcome depended primarily on the corneal or scleral wound and underlying posterior segment pathology and sites.