折叠式人工晶状体缝线固定术在后囊破裂应用  

Application of foldable intraocular lens suture fixation in the posterior capsule rupture cases

作　　者：何青[1] 谢茂松[1] 徐国兴[1] 郑卫东[1] 

机构地区：[1]福建医科大学附属第一医院,福建省眼科研究所,福建350005

出　　处：《中国实用眼科杂志》2011年第4期377-379,共3页Chinese Journal of Practical Ophthalmology

基　　金：基金项目：福建省自然科学基金（2009J05063）

摘　　要：目的 评价后房型折叠式人工晶状体缝线固定术的疗效.方法 小切口白内障囊外摘除术中后囊破裂患者按随机数字表分为两组：后房型一片式人工晶状体缝线固定术组（对照组）与后房型折叠式人工晶状体缝线固定术组（实验组）.对照组11例（11只眼）,实验组12例（12只眼）.术后随访观察视力、眼压、散光度变化和人工晶状体偏位程度.结果 术后病人裸眼视力均有提高,实验组散光度变化较对照组小,差异有统计学意义（t=3.137;P=0.005）.术后实验组人工晶状体偏位程度与对照相近,差异无统计学意义（t=1.083;P=0.291）.结论 后房型折叠式人工晶状体缝线固定术治疗效果优于后房型一片式人工晶状体缝线固定术.Objective To evaluate the therapeutic effect of posterior chamber foldable intraocular lens （IOL） suture fixation. Methods Posterior capsular rupture cases with small incision cataract extraction surgery were randomly divided into two groups： posterior chamber single-piece IOL suture fixation group （the control group） and posterior chamber foldable IOL suture fixation group （the experimental group）. The control group included 11 cases （ 11 eyes） and the experimental group included 12 cases （ 12 eyes）. Postoperative follow-up observations included visual acuity, intraocular pressure, astigmatism change and IOL deviation. Results Postoperative uncorrected visual acuity improved in all cases. Astigmatism changes in the experimental group were smaller than that in the control group. The difference was statistical significance （t = 3.137, P =0.005）. The degree of IOL deviation in the experimental group was similar to that in the control group. The difference had no statistical significance （t= 1.083, P= 0.291）. Conclusions The therapeutic effect of posterior chamber foldable IOL suture fixation is better than that of posterior chamber single-piece IOL suture fixation.

关 键 词：白内障 手术 后囊破裂 后房型一片式人工晶状体缝线固定术 后房型折叠式人工晶状体缝线固定术 

分 类 号：R779.65[医药卫生—眼科]