外伤性瞳孔扩张合并晶状体脱位的瞳孔成形术治疗

Hai-bin Zhong, Fan Xu, Min Li, Lifei Chen
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摘要

目的探讨外伤性晶状体脱位合并瞳孔扩张的手术方法。方法回顾性分析2013年6月至2016年3月收治的51例(51眼)外伤性晶状体脱位患者中39例瞳孔扩大患者的39只眼,行晶状体切除瞳孔成形术。结果本组82.4%的外伤性晶状体脱位发生外伤性瞳孔扩张。术后3 ~ 22个月,术后3个月视力> 0.1者31眼,畏光等症状明显减轻。结论外伤性晶状体脱位患者中,外伤性瞳孔扩张占很大比例。摘出晶状体并植入人工晶状体后,瞳孔成形术缩小瞳孔直径,可显著提高视力,有效减轻或消除瞳孔散瞳引起的畏光、眩光等诸多不适症状。关键词:外伤性瞳孔扩张;外伤性晶状体脱位;Pupilloplasty
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Treatment of traumatic pupil dilation combined with lens dislocation by pupilloplasty
Objective To explore the operative method of traumatic lens dislocation combined with pupil dilation. Methods Retrospectively analyzing 39 eyes of 39 patients with pupil dilation in 51 cases(51 eyes) of traumatic lens clislocatinen from June 2013 to March 2016 who were treated with lensectomy and pupiloplasty. Results In this group, traumatic pupillary dilation occurred in 82.4% of traumatic lens dislocation. Following 3 to 22 months, 3 months after operation the visual acuity > 0.1 were in 31 eyes, photophobia and other symptoms were obviously reduced. Conclusions In patients with traumatic dislocation of the lens, accompanied by a large proportion of traumatic pupil dilation. After Removalling of the lens and implanting of intraocular lens, pupiloplasty to reduce the pupil diametre can significantly improve visual acuity and effectively reduce or eliminate many discomfort symptoms by mydriasis, such as photophobia, glare and the others. Key words: Traumatic pupil dilation; Traumatic lens dislocation; Pupilloplasty
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期刊介绍: China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.
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