發(fā)布時間：2018-04-25 09:19

  本文選題：白內(nèi)障 + 角膜渾濁��； 參考：《浙江大學(xué)》2011年碩士論文

【摘要】：[目的] 通過病例回顧,分析白內(nèi)障超聲乳化聯(lián)合人工晶體植入術(shù)后角膜后彈力層脫離的臨床表現(xiàn)、診斷和治療方法,探討其發(fā)病機制、診斷標準和治療思路,從而為術(shù)中及術(shù)后角膜后彈力層的預(yù)防、早期診斷和合理治療提供依據(jù)。 [方法] 統(tǒng)計2010年6月至2011年3月期間于浙江大學(xué)醫(yī)學(xué)院附屬第二醫(yī)院眼科中心住院病人中診斷為角膜后彈力層脫離的1例病人的臨床資料,并運用裂隙燈顯微鏡、超聲生物顯微鏡(UBM)和眼前段照相進行臨床觀察研究。運用美國國立醫(yī)學(xué)圖書館Pubmed數(shù)據(jù)庫,輸入關(guān)鍵詞(白內(nèi)障、角膜、后彈力層脫離)檢索1980-2010年間在線文獻數(shù)據(jù),全面剖析白內(nèi)障超聲乳化聯(lián)合人工晶體植入術(shù)后并發(fā)角膜后彈力層脫離的發(fā)病機制、臨床表現(xiàn)、診斷和治療方法。 [結(jié)果] 2010年6月至2011年3月期間本院住院患者中診斷為角膜后彈力層脫離的患者共1例(1只眼)。女性,70歲,左眼因老年性白內(nèi)障于我院行白內(nèi)障超聲乳化聯(lián)合人工晶體植入術(shù)。術(shù)中即發(fā)現(xiàn)角膜后彈力層局限性脫離,于術(shù)中注射粘彈劑復(fù)位。一月后,后彈力層復(fù)位失敗,行角膜全層縫合術(shù)復(fù)位,3月后拆線。復(fù)位成功,角膜恢復(fù)透明狀態(tài)。 [結(jié)論] 1.角膜后彈力層脫離是一種會造成嚴重視力缺損的并發(fā)癥。 2.早期診斷對保留視力,預(yù)防角膜后彈力層永久損傷有積極的作用。 3.小范圍的脫離無須手術(shù)復(fù)位,大范圍的或者進行性的脫離則需要手術(shù)介入。 4.診斷明確成功復(fù)位對患者的視力恢復(fù)有著至關(guān)重要的作用。
[Abstract]:[purpose] The clinical manifestations, diagnosis and treatment of posterior elastic layer detachment after phacoemulsification combined with intraocular lens implantation were analyzed, and the pathogenesis, diagnostic criteria and treatment ideas were discussed. It provides basis for prevention, early diagnosis and reasonable treatment of posterior elastic layer of cornea during and after operation. [methods] From June 2010 to March 2011, the clinical data of one patient diagnosed as posterior elastic layer detachment of cornea in the eye center of the second affiliated Hospital of Zhejiang University Medical College were analyzed, and slit lamp microscope was used. Ultrasound biomicroscopy (UBM) and anterior segment photography were used for clinical observation. The National Library of Medicine (Pubmed) database was used to search online literature data from 1980 to 2010 by inputting key words (cataract, cornea, posterior elastic layer detachment). To analyze the pathogenesis, clinical manifestation, diagnosis and treatment of posterior elastic layer detachment after phacoemulsification combined with intraocular lens implantation. [results] From June 2010 to March 2011, one patient was diagnosed as posterior elastic layer detachment of cornea. A 70-year-old female with cataract phacoemulsification combined with intraocular lens implantation was performed in our hospital for senile cataract. Local detachment of the posterior elastic layer of cornea was found during the operation. After one month, the posterior elastic layer failed to be restored, the whole corneal suture was restored, and the thread was removed after 3 months. The reposition was successful and the cornea returned to a transparent state. [conclusion] 1. Posterior elastic layer detachment is a complication that can cause severe visual impairment. 2. Early diagnosis plays a positive role in preserving visual acuity and preventing permanent injury of the posterior elastic layer of cornea. 3. Small disengagement requires no surgical reduction, and large or progressive disengagement requires surgical intervention. 4. Diagnosis and successful reduction are very important to the recovery of visual acuity.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號】：R779.6

【參考文獻】

相關(guān)期刊論文 前4條

1 廖榮豐，，朱美玲，張曉蘋，李壽玲，趙運庭;角膜后彈力層脫離的原因分析和臨床觀察[J];眼科新進展;1996年02期

2 種平,賀q

本文編號：1800710