Blum M, Tetz M R, Greiner C, Voelcker H E
Department of Ophthalmology, University of Heidelberg, Germany.
J Cataract Refract Surg. 1996 Apr;22(3):342-6. doi: 10.1016/s0886-3350(96)80247-1.
To analyze the postoperative outcome and complication rate following cataract extraction because of post-traumatic lens opacification.
University medical center.
A retrospective analysis was done of 148 eyes with traumatic cataracts operated on between 1978 and 1992. Age, sex, traumatic sequelae, surgical strategies, and postoperative complications were reviewed for all eyes.
In 85 eyes, Group A, a history of blunt trauma could be ascertained. In 63 eyes, Group B, there had been a penetrating injury. Secondary glaucoma was observed more frequently in patients with blunt trauma. A posterior chamber intraocular lens was implanted in 85% of Group A eyes and in 67% of Group B eyes. Mild or moderate postoperative complications occurred in 15% of all cases. Postoperatively, the incidence of glaucoma remained unchanged. Visual acuity improved in 90% of eyes. Ten percent of eyes did not benefit from cataract surgery because of severe traumatic involvement of the retina or optic nerve.
In this study, a majority of eyes with traumatic cataract were safely rehabilitated with posterior chamber lens implantation. Visual acuity improved in 90% of eyes; complications were seen in 15%.
分析因外伤性晶状体混浊行白内障摘除术后的结果及并发症发生率。
大学医学中心。
对1978年至1992年间接受手术的148例外伤性白内障患者的眼睛进行回顾性分析。对所有眼睛的年龄、性别、外伤后遗症、手术策略及术后并发症进行了评估。
A组85只眼可确定有钝挫伤史。B组63只眼有穿通伤。钝挫伤患者继发性青光眼的发生率更高。A组85%的眼睛及B组67%的眼睛植入了后房型人工晶状体。所有病例中15%发生了轻或中度术后并发症。术后青光眼的发生率未变。90%的眼睛视力得到改善。10%的眼睛因视网膜或视神经严重外伤累及而未从白内障手术中获益。
在本研究中，大多数外伤性白内障患者通过植入后房型人工晶状体获得了安全的康复。90%的眼睛视力得到改善；15%出现了并发症。
