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題 名 | Lens Subluxation: 10-years' Experience at Chang Gung Memorial Hospital, Kaohsiung=水晶體脫位--長庚紀念醫院高雄院區十年經驗 |
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作 者 | 賴建雄; 郭錫恭; 賴盈州; 郭明倫; 林淑妍; 鄧美琴; | 書刊名 | 長庚醫學 |
卷 期 | 24:12 2001.12[民90.12] |
頁 次 | 頁786-792 |
分類號 | 416.744 |
關鍵詞 | 水晶體脫位; 經扁平部水晶體切除; 馬方氏症候群; Lens subluxation; Pars plana lensectomy; Marfan syndrome; |
語 文 | 英文(English) |
中文摘要 | 背景:本研究之目的在於分析水晶體脫位之臨床表徵及手術結果。 方法:我們回顧性分析從1991年1月到2000年6月,在高雄長庚醫院追?之水晶體脫位病患,共110病患,123個眼睛。其中21眼接受保守治療,102眼接受手術(8眼為馬方氏症候群、18眼為自發性移位、76眼因外傷引起)。手術適應症為視力減退、無法矯正之屈光不正及續發性青光眼。 結果:病患群體包括81位男性,29位女性,平均年齡為47.6歲(由2歲至76歲)。平均術後追?時間為22.24個月(由2個月至118個月)。不論水晶體狀態如何,手術組與未手術組之間其視力結果相似。憤通組有47眼(46.1%)其最佳矯正視力可達20/24以上。總共有80眼(78.4%)最佳矯正視力有明顯改善(logMAR值改變大於0.3)。術後主要之併發症有青光眼(11眼)、視網膜剝離(9眼)、人工水晶體移位至玻璃體(3眼)。 結果:本篇結果得知水晶體脫位本身並非憤通取出之絕對適應症,水晶體狀態對於術後結果並無明顯影響,大多數病例經適當處理皆可達到視力改善。 |
英文摘要 | Backgroud: This study aimed to describe the clinical manifestations and surgical outcomes of subluxated lens. Methods: Reviewing charts from January 1991 to June 2000, we studied 110 patients (123 eyes) who had lens subluxation at Chang Gung Memorial Hospital, Kaohsiung. For 21eyes, patients accepted conservative treatment, and 102 eyes underwent surgery (8 eyes had Marfan syndrome; 18 eyes had idiopathic dislocation; and 76 eyes had experience trauma). Indications of surgery included reduction in visual acuity, uncorrectable refractive error, and secondary glaucoma. Results: There were 81 male and 29 female patients. Their mean age was 47.6 years (range, 2-118 months). In spite of the different lens statuses, similar visual results were found between the surgical treatment group and the non-surgery group. In the surgery group, 47 eyes (46.1%) achieved best corrected visual acuity (BCVA) of 20/40 or better. A total of 80 eyes (78.4%) achieved an improvement (log MAR change >0.3) in BCVA. The major postoperative complications included glaucoma (11 eyes), retinal detachment (9 eyes) and intraocular lens dislocation into the vitreous cavity (3 eyes). Conclusions: Results indication that the presence of a subluxated lens alone is not an absolute indication for surgical removal. The lens status had no significant influence on surgical outcome. Most cases can achieve an improvement in BCVA after appropriate management. |
本系統中英文摘要資訊取自各篇刊載內容。