白內障手術併發玻璃體脱出之研究分析

A Study of Cataract Surgery Complicated with Vitreous Loss

劉順枝(Shun-Chih Liu) ； 蔡顯楊(Hin-Yang Choi) ； 李世煌(Shih-Hwang Lee) ； 張純翠(Tsun-Tsui Chang) ； 沈秉衡(Bing-Herng Shen) ； 許紋銘(Wen-Ming Hsu) ； 劉培元(Pei-Yuan Liu)

《中華民國眼科醫學會會刊》 30卷2期 (1991/12) Pp. 100-104

https://doi.org/10.30048/ACTASOS.199112.0060

摘要

隨著國人平均年齡的提高，白內障的治療成為眼科界一項不可或缺的工作。由於白內障手術的普遍，其併發玻璃體脫出亦為常見併發症之一。本文收集台中榮總自民國71年10月至79年8月，共計6894例單純性白內障息者進行分析，其中289例併發玻璃體脫出，而其續發之併發症可造成術後視力不良，其中以水泡性角膜病變佔絕大多數，黃斑部水腫及續發性青光眼亦不在少數，而視網膜剝離、玻璃體出血與眼內炎亦為其重要因素。因此白內障手術過程應儘量避免玻璃體脫出，可使術後視力早日恢復。一旦併發玻璃體脫出，經小心而適度的處理，亦可因避免上述之併發症而獲得較好之視力。

並列摘要

Vitreous loss was a serious complication of cataract surgery. We retrospectively analysed 6894 consecutive cases of cataract extraction performed betweenn Oct. 1982 and Aug. 1990, with special attention to those patients in whom vitreous loss occurred. It occurred in 8.48% of intracapsular cataract extraction (ICCE) and 2.79% of extracapsular cataract extraction (ECCE).
Serious sequelae would develop if the vitreous loss was not managed correctly. These included bullous keratopathy, cystoid macular edema, expulsive hemorrhage, vitreous hemorrhage, retinal detachment, secondary glaucoma and endophthalmitis.
The visual outcome in these patients was compromised. But good visual outcome was gained in this study if proper management of the vitreous loss with placing PC-IOL.

並列關鍵字

Cataract extraction ； vitreous loss ； bullous keratopathy ； cystoid macular edema