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小切口后房型人工晶状体植入并缝线固定术的临床观察

The Clinical Observation of Posterior Chamber Intraocular Lens Implant and Suture Through Microincision
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摘要 目的:探讨小切口后房型人工晶状体植入并缝线固定术在白内障超声乳化术中后囊膜破裂及白内障术后无晶状体眼中的应用。方法:我院从2003年1月至2006年9月期间采用小切口后房型人工晶状体植入并缝线固定术完成了32例(34眼),均获得较满意效果。结果:随访3—12月,平均随访半年,复查时矫正视力最佳1.0,最低0.1,视力≥0.3者28眼(占82.4%),视力≥0.6者20眼(占58.8%),视力偏低多为眼底病变所致。34眼中,术后早期眼压增高者3眼(占8.8%),经用降眼压药后均降至正常范围。34眼中术后均无明显并发症。结论:小切口后房型人工晶状体植入并缝线固定术是白内障超声乳化术中后囊膜破裂及白内障术后无晶状体眼的较佳术式。它不但缩短术后恢复时间而且减少了术后角膜散光,从而获得更好的视力。 Objective: Approach the method of posterior chamber intraocular lens implant and suture throught microincision in the complication of phacoemulsification and in the aphakic eye postcataract. Method: From Jan. 2003 to Sep. 2006,32 cases (34 eyes ) posterior chamber intraocular lens implant an suture through microincision all acquired satisfied result. Result: Following up 3 ~ 12 months ( average 6 months), the corrected vision was from 0.1 to 1.0 and 28 eyes corrected visual acuity were more than 0.3 ( 82.4% ). Poor vision was because of the fundal diseases. 3 eyes intraocular pressure ( IOP ) increased postoperation, then decreased to the normal range with medicine. All eyes had no complication. Conclusion: The method of posterior chamber intraocular lens implant and suture throuth microincision is the best choice to the posterior capsule broken in phacoemulisfication and to the aphakic eye postcataract. It not only shorten the time of postoperative recovery but also decrease cornea astigmatism. So the patient can get the better sight.
出处 《河北医学》 CAS 2007年第5期580-582,共3页 Hebei Medicine
关键词 小切口 人工晶状体 缝线固定术 Microincision Intraocular lens Suture
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