开放襻前房型人工晶状体取出的临床分析  

Analysis of patients with extraction of open-loop anterior chamber intraocular lenses

作　　者：代云海[1] 谢立信[1] 黄钰森[1] 吴晓明[1] 张辉[1] 蓝婕[1] 

机构地区：[1]山东省医学科学院山东省眼科研究所山东省眼科学重点实验室,青岛266071

出　　处：《中华眼科杂志》2011年第6期546-549,共4页Chinese Journal of Ophthalmology

基　　金：山东省眼科学重点实验室一省部共建国家重点实验室培育基地开放基金课题资助（SDYK-KF-2010-3）;青岛市科技局院士科研项目资助（02KGYSH-01）

摘　　要：目的探讨开放襻前房型人工晶状体（AC—IOL）取出的原因及其眼内植入的安全性。方法回顾性系列病例研究。分析1999至2009年28例（28只眼）曾行开放襻AC-IOL取出的患者资料，分析其IOL型号、原发病、眼内植入时间、取出原因及治疗结果等。结果28例患者使用的IOL均为新型弹性开放襻AC-IOL；有21例（75％）患者原发病为眼部外伤；IOL眼内植入时间平均（6．1±3．1）年（0．3～11．0年）；取出原因中大泡性角膜病变占首位42．9％（12／28），其次为继发性青光眼32．1％（9／28），视网膜脱离和IOL脱位分别占17．9％（5／28）和7．1％（2／28）；对6例大泡性角膜病变患者施行了单纯AC-IOL取出，另6例大泡性角膜病变患者同时联合了穿透性角膜移植术；对9例继发性青光眼患者施行了AC-IOL取出联合小梁切除术。结论大泡性角膜病变和继发性青光眼是开放襻AC-IOL取出的主要原因，开放襻AC-IOL眼内植入需严格掌握手术适应证，同时需要定期随访。Objective To analyze the cause of flexible open-loop anterior chamber intraocular lenses （AC-IOL） extraction and to evaluate the safety of these lenses implantation. Methods This retrospective study comprised 28 patients （28 eyes） who had received open-loop AC-IOL extraction from 1999 to 2009 in our hospital. Several factors of these patients were analyzed, including the type of AC-IOL, primary disease, the intraocular duration of AC-IOL, the cause of AC-IOL extraction and therapeutic result. Results All of the AC-IOL used were modern flexible open-loop AC-IOL. Twenty one patients were implanted AC-IOL because of ocular trauma; the average intraocular duration of the AC-IOL was （ 6. 1 ± 3.1 ） years. In the causes of AC-IOL extraction, bullous keratopathy was the most common cause, accounted for 42. 9% （12/28）; secondary glaucoma, retinal detachment and lens dislocation accounted for 32. 1% （9/28）, 17.9% （5/28） and 7.1% （2/28）, respectively. In the 12 cases with bullous keratopathy, 6 cases just received AC-IOL extraction and the others received penetrate corneal transplantation. Six cases with secondary glaucoma received AC-IOL extraction combined with trabeculectomy. Conclusions Bullous keratopathy and secondary glaucoma are the two most common causes for open-loop AC-IOL extraction. The patients who will receive AC-IOL implantation need an adequate selection and must be followed properly.

关 键 词：晶体 人工 前房 装置取出 

分 类 号：R779.6[医药卫生—眼科]