后房型有晶状体眼人工晶状体植入术治疗高度近视及散光  

Phakic posterior chamber intraocular lens implantation in high myopia with astigmatism

作　　者：刘莉[1] 陈自新[1] 陈茂盛[1] 马金花[1] 陈荥培 

机构地区：[1]黄石爱尔眼科医院,湖北省黄石市435002

出　　处：《中国实用眼科杂志》2011年第7期716-718,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨后房型有晶状体眼人工晶状体植入术治疗高度近视及散光的安全性和疗效性。方法后房型有晶状体眼人工晶状体植入术治疗高度近视及散光22例39只眼。术前屈光度（等效球镜）为-7．0—-24．0D，平均（-14．50D±3．50）D；散光-0．50—-4．50D，平均（-2．25±1．32）D。术后检查视力、眼压、裂隙灯显微镜，前房角，前房深度，人工晶状体拱高，角膜内皮细胞计数。随访3—18个月。结果术后3个月，38只眼视力达到或超过术前矫正视力。等效球境-0．50—-2．25D，平均（-0．75±0．38）D，散光度0，25～2．75D，平均（1．03±0．23）D，术后7只眼早期（2h后观察）眼压升高，经降眼压处理，24h内恢复正常。无一例出现青光眼、白内障、人工晶状体偏移及网脱等并发症。结论后房型有晶状体眼人工晶状体植入术治疗高度近视及散光保留了生理性调节、并发症少、安全有效，是临床矫正高度近视散光比较理想的一种方法。Objective To valuate the efficacy, safety stability and predictability of implanting a posterior chamber phakic intraocular lens to correct high myopia with astigmatism. Methods Thirty-nine eyes of 22 patients with high myopia were treated with ICL implantation. The range of preoperative myopia diopters was -7.0 D to -24.0 D, mean -14.50 D±3.50 D, astigmatism ranges -0.50 D to -4.50 D, mean 2.25±1.32 D. All of 39 eyes were implanted ICL successful and had been followed up for 3 to 18 months. The follow up examination included visual acuity, refraction tonometer, slit lamp examination, chamber depth, chamber angle and space between crystal lens and IOL. Results One week after operation, the uncorrected visual acuity of 38 eyes were same or better than the pre- operative best corrected visual acuity （BCVA）. The refractive diopters were from -0.50 to -2.25 D, mean -0.75±0.38 D. Astigmatism was 0.25 to 2.75 D, mean 1.03±0.23 D. Complications were seen in 7 eyes of 6 patients who had increased intraocular pressure shortly after surgery （observed in 2 hours after operation）. After treatment, the intraocular pressure recovered to normal range within 24 hours. No complications such as glaucoma, cataract, movement of IOL and retinal detachment occurred in any of the case. Conclusion ICL implantation is administered on the basis of preserving the natural lens. It is predictable, safe and effective in the selected correction methods in high myopia with astigmatism.

关 键 词：高度近视 人工晶状体 有晶状体眼 

分 类 号：R776.1[医药卫生—眼科]