摘要
目的:观察经角膜缘小切口行折叠型人工晶状体睫状沟悬吊术的临床疗效并探讨手术技巧。方法:因晶状体后囊破裂或悬韧带断裂不能常规植入后房型人工晶状体的病例共18例19眼,11眼行传统巩膜大切口一片式人工晶状体睫状沟悬吊术,8眼行角膜缘小切口折叠式人工晶状体睫状沟悬吊术。术后观察视力、眼压、IOL位置及并发症等。结果:术后裸眼视力较术前提高者,大切口组10眼(91%),小切口组8眼(100%);术后最佳矫正视力较术前提高者,大切口组4眼(36%),小切口组6眼(75%);术后最佳矫正视力≥0.5者,大切口组1眼,小切口组5眼,差异具有统计学意义(P=0.041)。所有术眼术后人工晶状体无明显偏位、倾斜。结论:小切口折叠型人工晶状体睫状沟悬吊术的治疗效果确切,值得广泛应用于无法行常规后房型人工晶状体植入的病例中。
AIM：To observe the curative effect of foldable intraocular lens（IOL） ciliary sulcus suture fixation with small incision and to investigate the surgical technique.METHODS：We took a retrospective analysis of 19 eyes without intact posterior capsule or lacking of zonular support,which fail to take a phacoemulsification.11 eyes had a single-piece IOL ciliary sulcus suture fixated with a scleral incision（group Ⅰ）;8 eyes had a foldable IOL ciliary sulcus suture fixated with a corneal incision（group Ⅱ）;Postoperative follow-up observations included visual acuity,intraocular pressure,IOL position and complications.RESULTS：The postoperative naked visual acuity was improved in 10 eyes（91%） in group Ⅰand in 8 eyes（100%） in group Ⅱ;The postoperative corrected distance visual acuity（CDVA） was improved in 4 eyes（36%） in group Ⅰ and in 6 eyes（75%） in group Ⅱ.The postoperative CDVA was ≥0.5 in 1 eye in group Ⅰ and in 5 eyes in group Ⅱ,the difference was statistically significant（P=0.041）.Apparent IOL deviation was not observed in any eyes postoperatively in our study.CONCLUSION：The foldable IOL ciliary sulcus suture fixation with small incision is an effective method for treatment of eyes without intact posterior capsule or lacking of zonular support.And it is worth popularizing widely.
出处
《国际眼科杂志》
CAS
2013年第1期85-87,共3页
International Eye Science
关键词
晶状体植入
悬吊术
后囊破裂
lens implantation
fixation
posterior capsular rupture
