發(fā)布時(shí)間：2018-04-25 05:34

  本文選題：白內(nèi)障超聲乳化吸出術(shù) + 切口滲漏�。� 參考：《南昌大學(xué)》2017年碩士論文

【摘要】：目的:評(píng)估高親水性軟性角膜接觸鏡在白內(nèi)障超聲乳化手術(shù)術(shù)后切口滲漏的治療效果及安全性。方法:回顧性病例分析我科2014年1月—2016年6月我院行白內(nèi)障超聲乳化吸出聯(lián)合人工晶體植入術(shù)后出現(xiàn)切開滲漏的病例18例18眼,術(shù)后除常規(guī)用藥外,給予佩戴高親水性軟性角膜接觸鏡。術(shù)眼觀察視力、眼壓、前房深度及角膜緣切口愈合情況。結(jié)果:所有患者中除1眼因既往有抗青光眼濾過(guò)性手術(shù),同時(shí)給予加壓包扎外,其余17眼在佩戴高親水性軟性角膜接觸鏡后第3天前房深度及眼壓基本恢復(fù)正常;所有患者術(shù)后戴鏡后第7天視力檢查均有明顯提高。戴鏡前前房深度為1.1±0.3mm,戴鏡后第3天為2.1±0.28 mm,差異有統(tǒng)計(jì)學(xué)意義;戴鏡前眼壓為9.0±2.2mmHg,戴鏡后第3天為15±2.4mmHg,差異有統(tǒng)計(jì)學(xué)意義;所有患者佩戴高親水性軟性角膜接觸鏡后,均無(wú)特殊不適癥狀;未發(fā)現(xiàn)有角膜不良反應(yīng)癥狀,均無(wú)繼發(fā)感染跡象。所有患者21天后取出高親水性軟性角膜接觸鏡,角膜熒光染色,均無(wú)切口滲漏。結(jié)論:對(duì)于白內(nèi)障超聲乳化吸出聯(lián)合人工晶體植入術(shù)后切口滲漏,及時(shí)佩戴高親水性軟性角膜接觸鏡是一種安全有效的治療方法。
[Abstract]:Objective: to evaluate the efficacy and safety of high hydrophilic soft contact lens in the treatment of incision leakage after phacoemulsification. Methods: 18 cases (18 eyes) of cataract phacoemulsification combined with intraocular lens implantation in our hospital from January 2014 to June 2016 were analyzed retrospectively. Wear high hydrophilic soft contact lenses. Visual acuity, intraocular pressure, anterior chamber depth and corneal limbus wound healing were observed. Results: except for one eye with anti-glaucoma filtering surgery and compression bandaging, the anterior chamber depth and intraocular pressure in 17 eyes were basically normal on the 3rd day after wearing high hydrophilic soft contact lens. The visual acuity of all patients improved obviously on the 7th day after wearing mirror. The depth of anterior chamber was 1.1 鹵0.3 mm and 2.1 鹵0.28 mm on the third day after wearing mirror, and the intraocular pressure was 9.0 鹵2.2 mm Hg and 15 鹵2.4 mm Hg on the third day after wearing mirror, there was significant difference in all patients after wearing high hydrophilic soft contact lens. There were no special symptoms, no corneal adverse reactions and no signs of secondary infection. High hydrophilic soft contact lenses were removed from all patients 21 days later, and no incision leakage was found. Conclusion: for incision leakage after phacoemulsification combined with intraocular lens implantation, it is safe and effective to wear high hydrophilic soft contact lens in time.
【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R779.6

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