人工晶体植入术后人工晶体前膜形成35例临床观察  

Observation on therapeutic effects of anterior membrane formation after intraocular lens implantation in 35 patients

作　　者：孙广莉[1] 杨华[2] 张明昌[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院眼科,湖北武汉430030 [2]新乡医学院第一附属医院眼科,河南卫辉453100

出　　处：《新乡医学院学报》2005年第6期607-608,共2页Journal of Xinxiang Medical University

摘　　要：目的探讨人工晶体植入术后晶体前膜形成的机制和处理方法.方法35例人工晶体前膜形成中,Ⅰ级10例,Ⅱ级25例.Ⅰ级前膜采用托吡酰胺及地塞米松眼液点眼治疗,Ⅱ级前膜采用结膜下注射地塞米松及安妥碘,同时给予托吡酰胺眼液点眼治疗.结果Ⅰ级前膜10例用药3～4 d消退;Ⅱ级前膜24例3～7 d消退,1例因前膜过厚,机化过重,药物治疗未能吸收,后经手术剥除治愈.随访6个月均无复发.结论扩瞳、激素、安妥碘联合治疗人工晶体前膜是有效可靠的方法.Objective To explore the mechanism and therapeutic method about the anterior membrane formation after intraocular lens （IOL） implantation, Methods In 35 patients with anterior membrane formation, grade Ⅰ of anterior menbrane in 10 patients and grade Ⅱ of anterior membrane in 25 patients were formed after IOL implantation. The dropping eyes with tropicamide and dexamethasone eyedrops were adapted in the gradeIof anterior membrane, The subconjunctival injection with dexamethasone and entodon in grade 2 of anterior memembrane, and dropping eyes with tropicamide eyedrops was given at the same time. Results The anterior membrane subsided after the medication in 3～4 d in 10 patients with grade 1. The anterior membrane subsided after the medication in3-4 d in 24 patients with grade 2, other 1 patien＇ anterior membrane didn＇t absorbed with medication because the membrane was too thick and sevre fibrinous and it was cured by surgical shell at the last. Patient of recurrence didn＇t seen in the following of 6 months. Conclusion The combination of dispersing pupil, hormone and entodon is an effedtive and reliable way fore anterior membrane formation after IOL implantation.

关 键 词：白内障 人工晶体 晶体前膜 

分 类 号：R779.66[医药卫生—眼科]