前部玻璃体切除联合巩膜缝线固定后房型折叠式人工晶状体的临床观察  

Clinical observation of anterior vitrectomy and posterior chamber foldable intraocular lens scleralfixation

作　　者：李蕾[1] 王兴民[1] 王秀娟[1] 崔国栋[1] 

机构地区：[1]大庆市人民医院哈尔滨医科大学附属五院眼科,黑龙江大庆163316

出　　处：《中华眼外伤职业眼病杂志》2011年第2期140-142,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价无后囊无晶状体眼行前部玻璃体切除联合巩膜缝线固定后房型折叠式人工晶状体的临床疗效。方法选用AMOZ900折叠人工晶状体，对无后囊或后囊破损严重不足以支撑人工晶状体者36例（36眼）行前部玻璃体切除联合人工晶状体缝线固定术，观察其术中、术后并发症及术后视力、角膜曲率、眼压的情况。结果术中无明显并发症，术后眼压升高2眼，玻璃体少量积血1眼，黄斑水肿2眼，无其他严重并发症。术后第1天的裸眼视力0．3以上者占41．67％，术后1周、1个月、3个月裸眼视力0．3以上者分为47．22％，80．56％和86．11％。结论前部玻璃体切除联合巩膜缝线固定后房型折叠式人工晶状体植入术是治疗无后囊支撑眼的较好选择。Objective To assess the efficacy of anterior vitrectomy associated with scleral suture fixation of foldable intraocular lens （IOL） for aphakia eye with absence of posterior capsule. Methods IOL implantation with scleral fixation was done in 36 cases （ 36 eyes）, which were unable to be normally implanted with posterior intraocular lens by lacking of posterior capsular support. Standard anterior vitrectomy was performed before the implantation. The follow up included intra-and post-operative complications, visual acuity, keratometry, intraocular pressure （IOP）. Results There were no obvious complication during the operation. The IOP increased in 2 eyes postoperatively, hemorrhage in vitreous body in one eye, and macular edema in 2 eyes. Postoperative visual acuity improved in all patients. Visual acuity of 0.3 or better accounted for 41.67% ,47.22% , 80.56% , and 86. 11% respectively on the first day, at 1 week, 1 month and 3 months after the operation. Severe complications were not observed. Conclusions Anterior vitrectomy associated with scleral suture fixation of IOL is a good choice for aphakia eye with absence of posterior capsular support.

关 键 词：玻璃体切除 晶状体 人工 折叠式 缝线固定 

分 类 号：R779.66[医药卫生—眼科]