瞳孔夹持合并后发性白内障的手术治疗  

Surgical treatment of intraocular lens papillary capture combined with secondary cataract.

作　　者：李志坚[1] 刘平[1] 石广森[1] 

机构地区：[1]哈尔滨医科大学附属第一医院眼科医院,黑龙江哈尔滨150001

出　　处：《眼外伤职业眼病杂志》2007年第10期762-764,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的研究瞳孔夹持合并后发性白内障的手术效果。方法12例（12眼）中10例瞳孔区人工晶状体光学面完全夹持,2例人工晶状体光学面大部分夹持。手术将后囊中心切开、前部玻璃体切除,人工晶状体光学面嵌入后囊后。结果术后近期人工晶状体前出现絮状渗出者3例,低眼压者2例。随访半年以上所有病例视力均有不同程度提高,术前视力均在0.1以下,术后矫正视力在0.3-0.8之间。人工晶状体体部无倾斜。位置稳定,无其它并发症发生。结论后囊切开、前部玻璃体切除及后囊后人工晶状体嵌顿术可以解除人工晶状体对虹膜的刺激,术后葡萄膜炎症反应较轻,视力提高。Objective To evaluate the efficacy of Surgical treatment of intraocular lens papillary capture combine with secondary cataract.Methods 12 eyes were treated through secondary cataract extraction,anterior vitrectomy and optic capture of the intraocular lens of all the 12 eyes,lO eyes were intraocular lens papillary capture completely,and the other 2 eyes were intraocular lens papillary capture partly. Results After the operation,there were garrulous effusion in 3 eyes,low intraocular pressure in 2 eyes.The vision acuity in all the eyes was all increased respectively after the follow-up 6 months.The vision acuity was all under 0.1 before operation,but the visionacuity ranged from 0.3 to 0.8.The intraocular lens were not slant.There was not any other syndromes. Conclusions Secondary cataract extraction,anterior vitrectomy and optic capture of the intraocular lens might decrease the stimulation to iris and uveitis and increase vision acuity.

关 键 词：瞳孔夹持 晶状体 人工 嵌顿术 

分 类 号：R779.6[医药卫生—眼科]