摘要
在４年半内为７０只眼后囊不完整者行Ⅰ期后房型人工晶体植入术。术后３个月及１年的随访结果表明，视力达到０．５以上者分别为９７．１％和８８．６％，并发症相对较少。作者提出后囊膜不完整时Ⅰ期后房型人工晶体植入的原则是：（１）用Ｈｅａｌｏｎ或空气保持前房深度；（２）人工晶体植入及旋转方向应背向后囊破裂区；（３）人工晶体植入或襻的位置应与后囊破裂部位的子午线相垂直；（４）适当利用残留的前囊代替后囊；（５）尽量清除前房内的玻璃体；（６）至少做两个虹膜周边切除。本手术方法适用于＜１２０°的周边后囊破裂和＜４ｍｍ的中央后囊破裂。
Abstractprimary implantation of posterior chamberintraocular lens (PC IOL) was perfonned in 70 eyeswith defective posterior capsule followingextracapsular cataract extraction.The visual acuitywas 0.5 or better at 3 months and 12 monthspostoperative in 97.1% and 88.6% of the casesrespectively.Complications were rare.The authors putforth the following principles for such cases:(1)injec-tion of air or Healon to maintain a deep anteriorchamber;(2)the insertion or rotation of the IOLshould be away from the area of capsular rupture;(3)the long axis of the IOL should cross the meridianof the posterior capsule rupture;(4) the residual ante-rior capsule may be utilized to support the IOL;(5)complete clearance of any vitreous in the anteriorchambeber;and(6) performance of at least 2 peripheraliridectomies to guard against pupillary block.Thistechnique is appllcable in eyes with peripheral posteri-or capsule defect of less than 120°or with centralrupture of less than 4mm.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1994年第1期25-27,共3页
Chinese Journal of Ophthalmology
