Artisan虹膜夹持型人工晶状体植入术及后房型人工晶状体睫状沟缝线固定术治疗无晶状体眼的比较  

Comparison of the Artisan iris clip lens implantation and posterior chamber intraocular lens ciliary sulcus suture fixation for the treatment of aphakic eyes

作　　者：杨勤[1] 张为中[1] 刘庆淮[1] 刘肖艺[1] 于焱[1] 袁志兰[1] 

机构地区：[1]南京医科大学第一附属医院眼科,中国江苏省南京市210029

出　　处：《国际眼科杂志》2009年第9期1674-1676,共3页International Eye Science

摘　　要：目的:比较Artisan虹膜夹持型人工晶状体植入术及后房型人工晶状体睫状沟缝线固定术治疗无晶状体眼的疗效及并发症。方法:2007-03/2009-03我院住院患者中连续24例24眼无后囊膜支持的无晶状体眼患者,随机分为两组。一组11眼行Artisan虹膜夹持型人工晶状体植入术,另一组13眼选择后房型人工晶状体睫状沟缝线固定术。观察手术前及手术后1d;1wk;1mo的裸眼视力(visual acuity,VA)、最佳矫正视力(best corrected visual acuity,BCVA)、眼压(intraocularpressure,IOP)、角膜内皮细胞计数(corneal endothelial cells,CECs)。结果:两组间比较,术前VA,BCVA,CECs差异无统计学意义,术后BCVA,CECs差异无统计学意义。Artisan组手术后VA优于术前BCVA,差异有统计学意义。睫状沟缝线固定组手术后VA与手术前BCVA差异无统计学意义。两组手术前后IOP差异无统计学意义。结论:Artisan虹膜夹持型人工晶状体植入术与后房型人工晶状体睫状沟缝线固定术都是治疗无晶状体眼有效方法。两者比较,Artisan虹膜夹持型人工晶状体植入术手术操作相对简单,组织损伤小,更加安全,是治疗无后囊膜支持的无晶状体眼的比较理想的治疗方法。AIM：To compare the efficacy and complications of Artisan iris clip lens implantation and posterior chamber intraocular lens ciliary sulcus suture fixation for the treatment of aphakic eyes.·METHODS：Twenty-four aphakic patients（24 eyes） from March 2007 to March 2009 without posterior capsular support were randomly divided into two groups. GroupⅠ：Eleven eyes underwent Artisan iris clip intraocular lens implantation;GroupⅡ：Thirteen eyes underwent posterior chamber intraocular lens ciliary sulcus suture fixation. Naked visual acuity（VA） ,best corrected visual acuity（BCVA） ,intraocular pressure（IOP） ,and corneal endothelial cell count（CECs） were observed before surgery and 1 day,1 week and 1 month after surgery. ·RESULTS：There was no significant difference between the two groups in VA,BCVA,CECs before and after operation. VA of group Artisan after surgery was better than preoperative BCVA. There was no significant difference of BCVA after and before surgery in ciliary sulcus suture fixation group. There was no significant difference of IOP before and after surgery in both two groups. ·CONCLUSION：Artisan iris clip intraocular lens implantation and posterior chamber intraocular lens ciliary sulcus suture fixation are both effective therapy for aphakic eyes. Artisan iris clip intraocular lens implantation is simpler,of less tissual lesion and safer than the latter,and seems to be an ideal therapeutic method for the treatment of aphakic eyes without posterior capsular support.

关 键 词：无晶状体眼 人工晶状体 虹膜夹持 

分 类 号：R779.6[医药卫生—眼科]