巴基斯坦儿童外伤性白内障造成的视力影响

发布时间：2018-05-13 22:06

本文选题：外伤性内障 + 白内障摘除术　；参考：《山东大学》2012年硕士论文

【摘要】：目的：外伤性白内障是导致单眼失明的最常见的原因之一。在该前瞻性研究中我们研究了“巴基斯坦儿童外伤性白内障造成的视力影响”。我们研究了疗效、管理及术后并发症,分析了通过人工晶体植入术等手术方式摘除患者外伤性白内障后的预后视力诊断。方法：此研究包含30例年龄在12岁或以下的外伤性白内障患者的连续病例,并对病例进行预期和评估。患者于2010年11月至2012年03月期间进行了手术。该研究在拉合尔Saira Miraj医院进行,该医院为私人医院,位于城市的郊区,绝大多数患者经济水平较低。研究组包含30例外伤性白内障患者的病例,其中21例(70%)为男性病患,9例(30%)为女性病患。大部分的外伤由电线、玻璃以及锋利的工具造成。所有的病患均患有外伤性白内障。16例(55.3%)角膜损伤和9例(30%)虹膜损伤为最常见的相关发现。所有病例均采用吸引冲洗法配合人工晶体植入术。所有患者均根据协议对其观察随访,时间为一年。结果： 82.97%的患者,视敏度由术前的感光提高到了术后的6/18或更高。两例手动,其中一例数指,3例从6/60到6/36,16例从6/24到6/18,4例从6/12到6/9,2例为6/6。结论：晶状体吸出术配合人工晶体植入术在患者中的效果令人满意。尽管我们知道白内障超声乳化术是发达国家最常使用的手术方式,但是其较高的机器设备费用及其一次性耗材意味着手动的小型白内障切除手术配合后房晶体植入(IOL)仍然是发展中国家最常见的手术方式。视力下降的主要原因是角膜瘢痕形成、角膜散光、视网膜脱离以及弱视。
[Abstract]:Objective: Traumatic cataract is one of the most common causes of single-eye blindness. In this prospective study, we studied the visual impact of traumatic cataract in children in Pakistan. We studied the curative effect, management and postoperative complications, and analyzed the prognosis of patients with traumatic cataract by intraocular lens implantation. Methods: The study included 30 consecutive cases of traumatic cataract aged 12 years or younger. The patient underwent surgery between November 2010 and March 2012. The study was conducted at Saira Miraj Hospital in Lahore, a private hospital on the outskirts of the city, where most patients had low financial levels. The study included 30 cases of traumatic cataract, of which 21 were male and 9 were female. Most injuries are caused by wires, glass and sharp tools. All patients suffered from traumatic cataract. 16 cases (55.3) cornea injury and 9 cases (30%) iris injury were the most common related findings. All cases were treated by suction irrigation combined with intraocular lens implantation. All patients were followed up by protocol for one year. Results: In 82.97% of patients, visual acuity increased from preoperative sensitivity to 6 / 18 or higher after operation. There are two manual cases, one of which is from 6 / 60 to 6 / 36, 16 from 6 / 24 to 6 / 18, 4 from 6 / 12 to 6 / 9, 2 from 6 / 6 to 6 / 6. Conclusion: The effect of lens aspiration combined with intraocular lens implantation was satisfactory. Although we know that phacoemulsification is the most common procedure in developed countries, But its high cost of machinery and equipment and its disposable supplies mean that manual small cataract surgery with posterior chamber lens implantation (IOL) is still the most common procedure in developing countries. The main causes of vision decline are corneal scar formation, corneal astigmatism, retinal detachment and amblyopia.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R779.66

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