人工晶状体植入系统行折叠型人工晶状体缝线固定术治疗眼外伤术后无晶状体眼疗效观察  

Clinical observation of secondary foldable intraocular IOL Delivery System with suture fixation to treat aphakic eye after ocular trauma with lens-vitrectomy

作　　者：姜皓[1] 廖奇志[1] 郁丽娟[1] 刘存宁[1] 

机构地区：[1]河北省唐山市眼科医院眼外伤二病区,河北063000

出　　处：《中国实用眼科杂志》2013年第1期69-71,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨应用人工晶状体植入系统行二期折叠型人工晶状体缝线固定术治疗眼外伤晶状体玻璃体切除术后无晶状体眼的手术技巧及疗效。方法对25例（25只眼）因眼外伤而行晶状体、玻璃体切除术后无晶状体眼行二期折叠型人工晶状体缝线固定术患者进行回顾性分析，探讨手术技巧、疗效及术后并发症。术后随访时间3~6个月。结果25只眼均一次悬吊成功。术中无明显手术并发症，术后1只眼发生脉络膜脱离，2只眼眼压升高，1只眼术后发生眼内出血，经药物治疗后于15d内吸收。术后第1天的裸眼视力0．3—0．8者占72．00％，术后1周、3个月、6个月裸眼视力0．3—0．8者分别占80．00％，92．00％和96．00％。术后3月裸眼视力较术前最佳矫正视力无统计学意义（t=1．8912，P〉0．05）。结论眼外伤晶状体、玻璃体切除术后应用人工晶状体植入系统行二期折叠人工晶状体缝线同定术，手术效果可靠，术中术后并发症少，是治疗眼外伤晶状体、玻璃体切除术后无晶状体眼屈光矫正的理想手术方法。Objective To examine the operative technique and its curative effect of secondary foldable intraocular lens using IOL Delivery System with suture fixation to treat aphakic eye after ocular trauma with lens-vitrectomy. Methods Through the retrospective analysis of the 25 patients （25 eyes） who was implanted foldable intraocular lens secondarily with suture fixation at ciliary sul- cus to examine the operative effect, technique and postoperative complication. The postoperative fol- low-up period was 3-6 months. Results Twenty-five eyes had successful operation at one time. No obvious complication was occurred intraoperatively. Choroidal detachment was observed in 1 eye and ocular hypertension was occurred in 2 eyes postoperatively. One eye had hemalopia that disappeared after 15 days by medicine treatment. Uncorrected visual acuity 0.3-0.8 was achieved in 18 eyes （72.00%） on the first day postoperatively. Uncorrected visual acuity 0.3-0.8 was achieved in 20 eyes （80.00%）, 23 eyes （92.00%）, and 24 eyes （96.00%） at the 1-week, 3-month, and 6-month follow-up respectively. There was not a clinical significant difference between visual acuity of pre-operative and post-operative （t =1.8912, P 〉0.05）. Conclusions Using IOL Delivery System secondary fold- able intraocular implantation with suture fixation at ciliary sulcus is successful to correct aphakic eye after ocular trauma with lens-vitrectomy.

关 键 词：眼外伤 晶状体玻璃体切除 折叠人工晶状体 人工晶状体植入系统 

分 类 号：R779.65[医药卫生—眼科]