Comparison of clinical efficacy between I phase and II phase intraocular lens implantation for the treatment of traumatic cataract

中华眼外伤职业眼病杂志 Pub Date : 2020-01-25 DOI:10.3760/CMA.J.ISSN.2095-1477.2020.01.002

T. Peng, Dandan Yu

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Abstract

Objective To compare the clinical efficacy between Ⅰ and Ⅱ phase IOL implantation for the treatment of traumatic cataract. Methods Fifty patients of monocular traumatic cataract from Jan. 2016 to Jan. 2018 in Zhejiang Armed Police Corps Hospital were selected.All cases were randomly divided into two groups.There were Ⅰ phase IOL implantation group of 28 cases and Ⅱ phase IOL implantation group of 22 cases.The efficacy of the two groups was compared. Results One month after operation, the visual acuity of the two groups were significantly better than that before operation (P 0.05). One month after operation, the incidence of corneal edema, uveitis, posterior synechia and secondary glaucoma in II stage group were lower than that in I stage group (P<0.05). One year after operation, the anterior chamber depth and scores of tear film rupture time in Ⅱ phase group were higher than those in Ⅰ phase group (P<0.05), and the intraocular pressure and scores of corneal fluorescence staining were lower than those in Ⅰ phase group (P<0.05). Conclusion IOL implantation, the complication rate of the Ⅱ phase of traumatic cataract for the treatment is lower and the long-term effect is better. Key words: Cataract, traumatic; Implantation, lens, intraocular; Efficacy, clinical

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一期与二期人工晶状体植入术治疗外伤性白内障的临床疗效比较

目的比较Ⅰ与Ⅱ相人工晶状体植入术治疗外伤性白内障的临床疗效。方法选取2016年1月至2018年1月武警总队医院收治的单眼外伤性白内障患者50例。所有病例随机分为两组。Ⅰ人工晶状体置入组28例，Ⅱ人工晶状体置入组22例。比较两组患者的疗效。结果术后1个月，两组患者的视力均明显优于术前(P < 0.05)。术后1个月，II期组角膜水肿、葡萄膜炎、后粘连、继发青光眼的发生率低于I期组(P<0.05)。术后1年Ⅱ期组前房深度及泪膜破裂时间评分高于Ⅰ期组(P<0.05)，眼压及角膜荧光染色评分低于Ⅰ期组(P<0.05)。结论人工晶状体植入术治疗外伤性白内障Ⅱ期并发症发生率较低，远期疗效较好。关键词:白内障;外伤性;植入术、晶状体、眼内;功效、临床

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