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玻璃体切割术后原晶状体眼和人工晶状体眼屈光的长期变化

The refractive changes of phakic eyes and pseudophakic eyes after vitrectomy
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摘要 目的 探讨玻璃体切割术后原晶状体眼和人工晶状体眼屈光的长期变化及临床意义。方法 对34例(其中21只眼为原晶状体,13只眼为晶状体摘除及人工晶状体植入术后)玻璃体切割术后的屈光变化经过术后1年的随访观察。结果 经过随访观察,原晶状体眼明显近视化改变,其中6只眼因白内障进行性发展而于玻璃体切割术后一年进行了白内障手术;然而人工晶状体眼却没有明显的屈光变化。结论 由于玻璃体切割术后很容易发生白内障及近视,可在玻璃体切割术同时做晶状体摘除及人工晶状体植入术。 Objective I evaluated changes in 34 eyes after vitrectomy. Method The lens was left intact in 21 eyes. Simultaneous lensectomy with intraocular lens implantation was performed in 13 eyes. During the follow up for 1 year. Results The 21 phakic eyes showed a significant tendency toword myopia. Six of 21 eyes necessitated cataract surgery 1 year after vitrectomy. Conclusion The state of refraction remained stationary in 13 pseudophakic eyes. The finding shows that myopinization and cataract are liable to occur following and that simultaneous IOL implantation is advocated except in juvenile patients.
作者 张恩魁
出处 《临床眼科杂志》 2005年第5期393-395,共3页 Journal of Clinical Ophthalmology
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参考文献20

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二级参考文献2

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