复杂无晶状体眼的二期后房型人工晶状体植入术  

Secondary posterior chamber intraocular lens implantation for patients with complicated aphakia

作　　者：黄伟奇[1] 

机构地区：[1]广东医学院附属医院眼科,广东湛江524001

出　　处：《眼科》2004年第5期292-294,共3页Ophthalmology in China

摘　　要：目的 :探讨复杂无晶状体眼的二期后房型人工晶状体植入术的方法和效果。方法 :对 4 6例 5 3只眼伴有不同程度眼前段结构紊乱、前房玻璃体疝、后囊膜缺损、玻璃体切除术后的复杂无晶状体眼患者 ,联合行眼前段重建、前段玻璃体切除、人工晶状体缝线固定等术式及二期植入后房型人工晶状体。术后随访 5～ 18个月。结果 :术后裸眼视力均达到或优于术前矫正视力 ,其中术后裸眼视力≥ 0 3者 4 5只眼 (84 9% )。术后瞳孔圆者 4 2只眼 ,人工晶状体正位者 4 8只眼 ,4只眼稍偏位 ,仅 1只眼人工晶状体倾斜。结论 :复杂无晶状体眼的二期后房型人工晶状体植入术可取得满意效果 。Objective:To evaluate the methods and effects of secondary posterior chamber intraocular lens implantation for patients with complicated aphakias.Methods:A combination of anterior segment reconstruction,anterior vitrectomy,suture fixation and secondary posterior chamber IOL implantation was performed on 46 patients(53 eyes)with complicated aphakias and different anterior segment disorders,vitreous hernia and after vitrectomy.The patients were followed up for 5-18 months.Results:All 53 eyes had obtained good visual acuity or reached preoperative corrected visual acuity.The postoperative naked visual acuity of 45 eyes was ≥0.3,round pupil in 42 eyes,IOL position is normal in 48 eyes,slightly abnormal in 4 eyes and tilt in 1 eye.Conclusions:Secondary posterior chamber IOL implantation with skillful manipulation and high quality viscoelastic material are helpful to patients with complicated aphakias.

关 键 词：无晶状体 白内障后 外科学 晶状体 人工 

分 类 号：R779.66[医药卫生—眼科]