虹膜根部断离修复联合白内障超声乳化人工晶状体植入观察  

Observation on the effect of iridodialysis repairing combined with phacoemulsification and artificial lens implantation

作　　者：谭荣强[1] 许维强[1] 丁琼[1] 郑春昌[1] 周家承[1] 吴林彬[1] 张蕾[1] 

机构地区：[1]肇庆市第一人民医院,广东肇庆526020

出　　处：《中国实用眼科杂志》2010年第8期899-901,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 观察虹膜根部断离修复联合白内障超声乳化摘除人工晶状体植入手术的疗效.方法 对65例（65只眼）外伤后虹膜根部断离伴白内障的患者进行虹膜根部断离修复联合白内障超声乳化摘除人工晶状体植入术.结果 术前双瞳孔,D形瞳孔,不规则瞳孔等瞳孔恢复圆形,术后瞳孔完全恢复圆形36例占55.38%,椭圆形29例占44.62%,术后1周视力≥0.6者38只眼,占58.46%,术后2周视力≥0.6者46只眼,占70.77%.结论 虹膜根部断离修复联合白内障超声乳化摘除人工晶状体植入术能改善和恢复瞳孔功能,提高视力,效果良好.Objective To observe the effect of iridodialysis repairing combined with phacoemulsification and artificial implantation. Methods Sixty-five patients with iridodialysis and cataract were treated with iridodialysis repairing combined with phacoemulsification and artificial implantation. In the operation, sodium hyaluronate was injected into anterior chamber through clear corneal incision, the conjunctiva was open in iridodialysis, then the corneoscleral tunnel incision was made with 3.2mm tunnel knife under the guidance of gonioscope; the distal end of iridodialysis was aspirated to tunnel incision with needle and interrupted suture iris. 0.05ml epinephrine was injected into anterior chamber to achieve mydriasis after suture, capsulorhexis and chopped nucleus; then the cataract nucleus was emulsified with 45-50% energy and 80-100mmHg negative pressure; implanted the artificial lens. The pupillary change, postoperative visual acuity, reaction, complications and situation of medication were observed. Results The double pupil, D-shape pupil and irregular pupil restored to circle after operation. Thirty-eight eyes were restored to circular-shape pupil （55.38%） and 29 eyes to elliptical-shape pupil （44.62%）. The corrected visual acuity ≥0.6 was in 38 eyes （58.46%） at one week after operation; the corrected visual acuity ≥0.6 was in 46 eyes （70.77%） at two weeks after operation. Conclusion The iridodialysis repairing combined with phacoemulsification and artificial implantation can improve and restore the pupil function, improve the visual acuity; and the effect is good.

关 键 词：虹膜根部断离 缝合 白内障 超声乳化术 

分 类 号：R779.66[医药卫生—眼科]