摘要
目的探讨玻璃体切割联合超声乳化及人工晶状体悬吊术治疗晶状体脱位的临床疗效。方法选取晶状体脱入玻璃体内的患者30例(30眼),其中眼球钝挫伤引起的晶状体全脱位25眼,针拨白内障术后晶状体全脱位2眼,白内障摘出术中晶状体核脱入玻璃体内3眼。根据脱入玻璃体内的晶状体核硬度不同采用不同的手术方法,行玻璃体切割联合晶状体切除及人工晶状体悬吊植入术,必要时行硅油填充。术后随访0.5～1a,观察视力、眼压及并发症等情况。结果本组患者行玻璃体切割联合晶状体切除及人工晶状体悬吊植入术19例(19眼);玻璃体切割联合超声乳化及人工晶状体悬吊植入术10例(10眼);玻璃体切割联合超声乳化及硅油充填术1例(1眼)。术后视力:0.1～0.3者16眼,0.3～0.5者9眼,0.5以上者5眼;术后继发青光眼3眼,经降眼压治疗后恢复正常范围。术后随访期间未发现视网膜脱离、玻璃体积血、人工晶状体偏位等并发症。结论玻璃体切割联合超声乳化及人工晶状体悬吊植入术治疗晶状体脱位是一种安全、有效的方法。
Objective To investigate the clinical effects of vitrectomy combined with phacoemulsification and intraocular lens suspension for lens dislocation.Methods Thirty patients（30 eyes） with lens dislocated into the vitreous were chosen,in which 25 eyes with whole lens dislocation induced by contused wound of eyeball,2 eyes with whole lens dislocation after cataract surgery,3 eyes with lens nucleus dislocated into the vitreous after cataract extraction.The different methods were used according to the nucelus hardness dislocated into the vitreous,the vitrectomy combined with phacoemulsification and intraocular lens suspension was performed,the silicone oil filled when necessary.The visual acuity,intraocular pressure and complications were observed,the follow-up time was from 0.5 a to 1 a.Results The vitrectomy combined with lens excision and intraocular lens suspension were performed in 19 cases（19 eyes）,vitrectomy combined with phacoemulsification and intraocular lens suspension in 10 cases（10 eyes）,vitrectomy combined with phacoemulsification and silicone oil padding in 1 case（1 eye）.Postoperative visual acuity was from 0.1 to 0.3 in 16 eyes,from 0.3 to 0.5 in 9 eyes,more than 0.5 in 5 eyes;Postoperative 3 eyes had secondary glaucoma and came back to normal range after treatment.No other complications occurred during the follow-up time,such as retinal detachment,vitreous hemorrhage,artificial lens for deviation,et al.Conclusion Vitrectomy combined with phacoemulsification and intraocular lens suspension is a safe and effective therapeutic method for lens dislocation.
出处
《眼科新进展》
CAS
北大核心
2011年第8期777-778,共2页
Recent Advances in Ophthalmology
