Artisan前房型与后房悬吊型人工晶状体植入术的对比研究  

Comparison of Artisan iris clip lens implantation and posterior chamber intraocular lens ciliary sulcus suture fixation for aphakic eyes

作　　者：申海翠[1] 牟莉[2] 

机构地区：[1]徐州医学院研究生学院,江苏徐州221002 [2]徐州医学院附属医院眼科,江苏徐州221002

出　　处：《徐州医学院学报》2013年第5期308-311,共4页Acta Academiae Medicinae Xuzhou

摘　　要：目的比较Artisan前房型人工晶状体及后房悬吊型人工晶状体睫状沟植入术治疗无晶状体眼的疗效。方法选取眼部外伤或手术后无囊膜支撑的无晶状体眼患者46例（46眼），按实验设计分成2组，A组23眼行Artisan前房型人工晶状体植入术，B组23眼行后房悬吊型人工晶状体睫状沟缝线固定术。观察2组患者手术前及手术后1天、1周、1个月、3个月、6个月的裸眼视力，最佳矫正视力（BCVA）、眼压、角膜内皮细胞计数（CECC）、术后角膜内皮细胞丢失率。结果2组患者术后BCVA较术前均有不同程度提高（P〈0．05）；A组术后第1天裸眼视力较B组明显提高（P〈0．05），其余时间点2组间术后BCVA差异无统计学意义（P〉0．05）。术后第1天B组眼压较A组明显升高（P〈0．01），其余时间点2组间眼压差异无统计学意义（P〉0．05）。术后第1天2组CECC均较术前明显减少（P〈0．05），但2组间各时间点角膜内皮细胞丢失率差异均无统计学意义（P〉0．05）。结论Artisan前房型人工晶状体植入术与后房悬吊型人工晶状体睫状沟缝线固定术治疗无晶状体眼均安全、有效。Artisan前房型人工晶状体植入术操作相对简单，对眼球组织损伤小，术后早期视力恢复快，是治疗无后囊膜的无晶状体眼比较理想的治疗方法。Objective To investigate the efficacy of Artisan iris clip intraocular lens （IOL） implantation and posterior chamber IOL ciliary sulcus suture fixation for aphakic eyes. Methods 46 aphakic patients （46 eyes） without adequate posterior capsular support were divided into 2 groups according to experimental design （n = 23 eyes each）. Group A received Artisan iris clip type IOL implantation. Group B received posterior chamber IOL implantation through ciliary sulcus suture fixation. Visual acuity （VA） , the best corrected visual acuity （BCVA） , intraocular pressure （IOP） , corneal endothelial cell count （CECC） , and corneal endothelial cell loss rate were evaluated before surgery and 1 day, 1 week, 1 month, 3 months, and 6 months after surgery. Results Postoperative BCVA were improved in both groups compared with preoperative BCVA （P 〈 0.05 ）. The naked VA at 1 day after surgery were obviously improved in group A than in group B （P 〈 0.05 ）, but no statistical differences of postoperative BCVA at the rest time points were observed between the two groups （ P 〉 0.05）. The IOP at 1 day after surgery was much higher in group B than in group A （ P 〈 0. 01 ）, but no statistical differences of postoperative IOP at the rest time points were observed between the two groups （ P 〉 0.05）. CECC reduced significantly at 1 day after surgery in both groups （P 〈 0.05 ）, but no significant differences of corneal endothelial cell loss rate at all time points were observed between the two groups （P 〉 0.05）. Conclusion Both Artisan iris clip IOL implantation and posterior chamber IOL ciliary sulcus suture fixation are safe and effective for the treatment of aphakic eyes. Artisan iris clip IOL implantation is relatively simple, with minimal tissue damage and faster visual recovery. It is an ideal procedure for aphakic eyes without adequate posterior capsular support.

关 键 词：无晶状体眼 人工晶状体 虹膜夹型 睫状沟缝线固定术 

分 类 号：R776.3[医药卫生—眼科]