Outcome of combined pars plana vitrectomy and scleral fixated intraocular lens for the treatment of ocular trauma
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目的：探讨玻璃体切割术(pars plana vitrectomy,PPV)联合人工晶状体(intraocular lens,IOL)巩膜固定术治疗眼外伤的疗效。 方法：系列病例回顾性分析。将马来西亚大学医学中心接受PPV联合IOL巩膜固定术的8例连续性病例纳入研究，其中1例患者双眼均受伤，共有9眼。对现阶段视力，手术技巧，并发症及术后疗效进行分析。 结果：9眼中有8眼（89%）视力提高。术后主要并发症是眼压升高，无缝线破裂。 结论：PPV联合IOL巩膜固定术对有眼外伤病史的患者有非常好的疗效。
Abstract:
AIM: To determine the efficacy of combined pars plana vitrectomy (PPV) with primary scleral fixated intraocular lens (IOL) in patients with ocular trauma. METHODS: A retrospective case series descriptive study. A consecutive 8 patients of ocular trauma which underwent combined PPV with primary scleral fixated IOL at the University Malaya Medical Centre were reviewed. One patient had bilateral injury making it 9 eyes for analysis. The presenting visual acuity, technique of surgery, complications and outcomes were analyzed. RESULTS: Vision improved in 8 out of the 9 eyes (89%). The major postoperative complication noted was an elevated intraocular pressure while suture breakage was not noted in our series. CONCLUSION: Combined PPV and sutured IOL has a good outcome in eyes with history of trauma.
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Angela V P Loo, Sujaya Singh, Mohammadreza Peyman,等.玻璃体切割术联合人工晶状体巩膜固定术治疗眼外伤的疗效.国际眼科杂志, 2012,12(6):1016-1018.
