硅油取出联合二期后房型人工晶状体植入术  

Silicone oil removal combined with secondary posterior chamber intraocular lens implantation

作　　者：柳林[1] 高玉[1] 

机构地区：[1]第二军医大学第一附属医院(长海医院)眼科,中国上海市200433

出　　处：《国际眼科杂志》2007年第4期1003-1005,共3页International Eye Science

摘　　要：目的:探讨硅油取出联合二期后房型人工晶状体(PC-IOL)植入术的临床疗效。方法:对13例13只后囊膜完整的无晶状体硅油填充眼行经睫状体平坦部硅油取出、二期后房型IOL植入联合手术。术后密切随访3mo以上。结果:IOL植入晶状体囊袋内11例;植入睫状沟2例。Post-BCVA较Pre-BCVA均有不同程度的提高,62%(8/13)提高明显。所有患者均无视网膜脱离再发、IOL移位等特殊并发症发生;余留晶状体前后囊膜均有不同程度混浊,中央部因无囊膜组织而透明。结论:经睫状体平坦部硅油取出联合二期后房型IOL植入术是一种安全、有效的手术方法。严格手术适应证,选择合适的病例,以及具备相当成熟的手术技巧,是手术成功的关键。AIM： To evaluate the therapeutic effects of combined silicone oil removal and secondary posterior chamber intraocular lens （IOL） implantation in the silicone-oil-tamponaded eyes without lens. METHODS： In this study, we selected 13 eyes of 13 cases undergoing phacoemulsification. When silicone oil infusion was performed, silicone oil removal was done through the ciliary body fiat incision combined with secondary posterior chamber IOL implantation. Follow-up was more than 3 months. RESULTS： The IOL was inserted in the lens bag in 11 cases and in the dliary sulcus in two cases. The post-BCVA was better than the pre-BCVA in varied degree, and increased ob- viousiy in 62% （8/13） of cases. Corneal endothelium functional decompensation, residual silicone oil, lens dislocation, secondary glaucoma and retinal detachment were not observed in any patients. The remained lens capsule had various degrees of opacity. The center of IOL was transparent due to the lack of lens capsule. CONCLUSION： The combined surgery is a safe and effective approach. Strict operating indications, selecting appropriate cases and mature operating skill are the key to success.

关 键 词：硅油取出 后房型人工晶状体 二期植入 

分 类 号：R779.66[医药卫生—眼科]