玻璃体切割联合ARTISAN虹膜夹人工晶体植入治疗外伤性晶状体脱位  

Clinical curative effect of vitrectomy combined with implantation of Artisan iris-fixated intraocular lens in traumatic dislocation of the lens

作　　者：刘蓓[1] 王丽丽[2] 朱忠桥[1] 杜善双[1] 

机构地区：[1]西安市第四医院眼科,西安710004 [2]西安市中心医院眼科,西安710003

出　　处：《山东大学耳鼻喉眼学报》2011年第4期87-89,92,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨玻璃体切割联合ARTISAN虹膜夹人工晶体植入治疗外伤性晶状体脱位的临床疗效。方法选择2008年1月至2010年10月就诊的外伤性晶状体脱位患者7例7眼,采用玻璃体切割联合ARTISAN虹膜夹人工晶体植入治疗。随访1个月,分析手术适应证、并发症及术后疗效。结果术后1个月裸眼视力与术前最佳矫正视力、术后1个月最佳矫正视力与术前最佳矫正视力及术前与术后1d、1周角膜内皮计数比较无统计学差异,术前及术后1个月角膜内皮计数比较有统计学差异。术后前房出血1例,角膜内皮水肿2例,眼压一过性升高1例,均自行转归或药物治愈。结论符合纳入条件的外伤性晶状体脱位患者一期行玻璃体切割联合ARTISAN虹膜夹人工晶体植入手术是可行的,该方法治疗外伤性晶体脱位是一种安全有效的手术方式。Objective To observe the clinical curative effect of vitrectomy combined with implantation of Artisan iris-fixated intraocular lens in traumatic dislocation of the lens.Methods From January 2008 to October 2010,7 patients（7 eyes） with traumatic dislocation of the lens underwent vitrectomy combined with implantation of Artisan iris-fixated intraocular lens.In 1 month of follow up,surgical indications,related complications and clinical curative effect were summarized.Results The difference between postoperative natural visual acuity in 1 month of the follow up and preoperative best corrected vision was not significant.The difference between postoperative best corrected vision acuity in 1 month of the follow up and the preoperative best corrected vision acuity was not significant.The difference of corneal endothelium cell density between preoperative count and postoperative count in 1 day and 1 week of the follow up was not significant.The difference of corneal endothelium cell density between preoperative count and postoperative count in 1 month of the follow up was significant.In the follow up,postoperative hyphema happened in 1 case,postoperative edema of corneal endothelium happened in 2 cases and postoperative intraocular pressure increased in 1 case.All became self-healing or were cured by medicine.Conclusions Vitrectomy combined with implantation of Artisan iris-fixated intraocular lens is feasible for traumatic dislocation of the lens corresponding with internalized conditions,and is a safe and effective method for traumatic dislocation of the lens.

关 键 词：玻璃体切割术 虹膜夹人工晶体 晶状体脱位 联合手术 

分 类 号：R779.1[医药卫生—眼科]