摘要
目的:探讨超声乳化白内障吸除联合人工晶状体(intraocularlens,IOL)植入术后严重并发症的原因、后果及防治原则。方法:对行超声乳化白内障吸除联合IOL植入术的7150眼中发生严重并发症的42眼的病例资料进行回顾性分析。结果:术后角膜内皮失代偿15眼(0.20%),恶性青光眼2眼(0.03%),IOL坠入玻璃体腔3眼(0.04%),视网膜脱离6眼(0.08%)和感染性眼内炎16眼(0.22%)。末次随访时,85.7%的患眼视力低于0.1。结论:由于超声波机械或热损伤、术中并发症以及患眼个体差异等,超声乳化白内障吸除联合IOL植入术后可出现一些严重并发症。虽经积极治疗,多数患眼视力恢复仍较差。因此,重要的是强调对这些严重并发症的预防。
AIM: To analyze the causes and outcomes of some severe complications of phaco emulsification and intraocular lens(IOL) implantation.· METHODS: The clinical data of some severe complications of 42 in 7 150 eyes w ith phacoemulsification and IOL implantation were retrospectively analyzed.· RESULTS: The severe complications after phacoemulsification and IOL implantat ion included corneal decompensation in 15 eyes (0.20%), malignant glaucoma in 2 eyes (0.03%), drop of IOL into vitreous in 3 eyes (0.04%), retinal detachment in 6 eyes (0.08%) and endophthalmitis in 16 eyes (0.22%). The last follow-up visi on lower than 0.1 was in 85.7% eyes with the complications.· CONCLUSIONS: Some severe complications may occur after phacoemulsification an d IOL implantation, which could result in severe visual loss although proper man agement was performed. Thus emphasis should be put upon the prevention of compli cations.·
出处
《国际眼科杂志》
CAS
2004年第4期639-641,共3页
International Eye Science
