摘要
目的:探讨在针拨白内障术后应用小切口白内障摘除联合人工晶状体睫状沟悬吊固定手术的有效性和安全性。方法:对20例(21眼)针拨白内障术后患者进行白内障取出人工晶状体睫状沟悬吊固定术。随访3～12mo,观察术后视力、眼压、术中术后并发症及术后人工晶状体的位置。结果:术后第1d裸眼视力:0.4～0.5者7眼,0.6～0.8者14眼。术后7d进行显然验光,平均为(-0.87±0.43)D,与手术前设计保留(-0.50～-1.00)D接近。术后3mo平均度数为(-0.68±0.33)D。手术后7d眼压平均为17.11±3.13mmHg,术后3mo平均眼压为14.17±2.03mmHg。手术中入、出针时,发生少量出血2眼;术后角膜切口周围轻度水肿5眼,3～5d基本消退。结膜下出血4例,5～7d后自行吸收。随访观察3～12mo,21眼手术后人工晶状体位置均保持良好的居中性。未发现角膜内皮功能失代偿、青光眼、视网膜脱离等情况。结论:针拨白内障术后应用小切口白内障摘除联合人工晶状体睫状沟悬吊固定手术是安全、有效的。
AIM ： To investigate the effectiveness and safety of small incision cataract extraction and ciliary sulcus suture of PC IOL after couching surgery.METHODS： Small incision cataract extraction and ciliary sulcus suture of PC IOL was performed in 20 cases （21 eyes） after couching cataract surgery. The follow up period was from 3 to 12 months. Postoperative visual acuity, lOP, intra- and post-operative complications and the location of intraocular lens were observed. RESULTS： On day 1 after operation, the visual acuity of seven eyes was 0.4-0.5, 14 eyes in 0.6-0.8. The mean of manifest refraction after 7 days was （-0. 87 ± 0. 43） D, which was closed to the preoperative designing of （-0.50 - -1.00）D. The mean degree was （-0.68 ± 0.33） D three months after operation. The mean lOP was 17. 11 ± 3.13mmHg and 14. 17 ± 2. 03mmHg after 7 days and 3 months, respectivley. There were 2 eyes with minor hemorrhage when the needle pierced into and pulled out. Five eyes presented mild edema around the corneal incision after operation and disappeared after 3-5 days. Four cases were subconjunctival hemorrhage and spontaneously absorbed after 5-7 days. At the follow up period, the location of intraocular lens in all 21 cases was placed in the middle well. There were no function decompensation of corneal endothelium, glaucoma, retinal detachment and other complications. CONCLUSION： The surgical method of small incision cataract extraction and ciliary sulcus suture of PC IOL after couching surgery is safe and effective.
出处
《国际眼科杂志》
CAS
2009年第3期558-559,共2页
International Eye Science
关键词
针拨白内障
小切口
白内障摘除
人工晶状体悬吊术
couching cataract surgery
small incision
cataract extraction
ciliary sulcus suture of PC intraocular lens
