解放军医学院学报2024，Vol.45Issue(12)：1252-1258,7.DOI:10.12435/j.issn.2095-5227.2024.162
眼外伤患者不同时机行人工晶状体悬吊术的临床特征及预后比较
Clinical features and prognosis in patients with ocular trauma undergoing intraocular lens suspension at different time points
刘思佳 1李景兰 1叶子 2罗昱 1马天驹 2陈文倩 2李朝辉2
作者信息
- 1. 解放军医学院,北京 100853
- 2. 解放军总医院第三医学中心眼科医学部,北京 100039
- 折叠
摘要
Abstract
Background There is currently limited research on the clinical efficacy and long-term prognosis of artificial intraocular lens suspension implantation surgery in patients with eye trauma at different time points.Objective To analyze and compare the clinical characteristics of patients with ocular trauma and the clinical efficacy and long-term complications of intraocular lens suspension at different time points.Methods Clinical data about patients with traumatic cataracts or lens dislocation due to ocular trauma admitted to the First Medical Center of Chinese PLA General Hospital from May 2009 to June 2023 were retrospectively analyzed.According to different operation time and methods,patients were divided into stage Ⅰ intraocular lens suspension(stage Ⅰ group)and stage Ⅱ intraocular lens suspension(stage Ⅱ group).The basic information,ocular trauma,operation,and prognosis of the two groups were collected and analyzed.Results This study included 142 patients,126 males and 16 females,with a median age of 48(IQR:37-61)years.The incidence of closed-eye trauma was slightly higher than that of open-eye trauma(56.34%vs 43.66%,P<0.001),and the most common injury site in open-eye trauma was corneal penetration(62.90%).As of December 2023,the average follow-up time of the stage Ⅰ group was(72.1±45.6)months,and it was(81.8±44.2)months in the stage Ⅱ group.The best-corrected visual acuity in the stage Ⅰ group improved postoperatively compared to preoperatively(0.4[0.2-0.7]vs 0.8[0.5-1.8],P<0.001).In the stage Ⅱ group,the BCVA improved slightly or remained unchanged postoperatively compared to preoperatively(0.5[0.3-1.05]vs 0.4[0.2-1.7],P=0.877).There was no statistically significant difference in postoperative BCVA between the two groups(0.4[0.2-0.7]vs 0.5[0.3-1.05],P=0.093).The intraocular pressure in the stage Ⅰ group was higher than that in the stage Ⅱ group both preoperatively(16.9±7.6 vs 13.5±4.6,P=0.026)and postoperatively(14.7±4.6 vs 12.9±3.7,P=0.026).There were no statistically significant differences in vision prognosis,suspension intraocular lens dislocation(6 cases[10.53%]vs 14 cases[16.47%]),secondary glaucoma(5 cases[8.77%]vs 3 cases[3.53%])between the two groups(P>0.05).Conclusion After ocular trauma,both stage Ⅰ intraocular lens suspension and stage Ⅱ intraocular lens suspension can effectively improve the refractive status of patients,with no significant difference in the best-corrected visual acuity between the two groups postoperatively.Stage Ⅰ intraocular lens suspension may have a higher risk of elevated intraocular pressure both preoperatively and postoperatively compared to stage Ⅱ intraocular lens suspension.There is no significant difference in the long-term visual prognosis and common postoperative complications between the two timing options for IOL suspension implantation.关键词
眼外伤/外伤性白内障/外伤性晶状体脱位/人工晶状体悬吊术/手术时机Key words
ocular trauma/traumatic cataract/traumatic dislocation of lens/intraocular lens suspension/operation timing分类
医药卫生引用本文复制引用
刘思佳,李景兰,叶子,罗昱,马天驹,陈文倩,李朝辉..眼外伤患者不同时机行人工晶状体悬吊术的临床特征及预后比较[J].解放军医学院学报,2024,45(12):1252-1258,7.
