三片式人工晶状体光学面后囊孔嵌压术在预防儿童白内障二期人工晶状体脱位应用  

Clinical application of the three-piece intraocular the posterior capsule in secondary intraocular lens preventing lens dislocation lens with optical surfaces entrapment by implantation of the pediatric cataract for

作　　者：王志亮[1] 

机构地区：[1]河北省邢台市眼科医院 河北省眼科学重点实验室 河北省眼科研究所,054001

出　　处：《中国实用眼科杂志》2014年第2期179-182,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的评价三片式人工晶状体光学面后囊孔嵌压术在预防儿童白内障二期人工晶状体脱位的临床疗效。方法选择2009年10月至2010年11月期间在邢台市眼科医院就诊的5岁以内儿童无晶状体眼患儿76例152只眼。手术分为两组，A组（单纯人工晶状体睫状沟植入组）80只眼；B组（人工晶状体光学面后囊孔嵌压组）72只眼，随访3～19个月，平均11个月。结果A组80只眼中有13只眼出现人工晶状体脱位，B组72只眼中只有1只眼出现人工晶状体瞳孔夹持，两组对比有统计学意义（疋。=10．01，P〈O．05）。结论使用光学部直径大的三片式人工晶状体，将其光学部确实地嵌压在后囊孔后，可以有效地预防儿童白内障二期人工晶状体植入术后人工晶状体脱位。Objective To assess the clinical effects of the three-piece intraocular lens which optical surfaces were captured by the posterior capsule in secondary intraocular lens implantation of the pediatric cataract. Methods The 152 eyes of children less than 5 years old with aphakia were se- lected between October 2009 and November 2010. Operation was divided into two groups, Group A （the intraocular lens which were implanted at ciliary sulcus） 80 eyes, Group B （the intraocular lens which optical surfaces were captured by the posterior capsule） 72 eyes, follow-up duration was from 3 to 19 months, an average of 11 months. Results In group A, there were 13 eyes of intraocular lens dislocation. In group B, there was only 1 eye of intraocular lens captured by the pupil. There was significant difference between two groups （P 〈0.05）. Conclusions The three-piece intraocular lens which big optical surfaces are captured by the posterior capsule can prevent the dislocation in secondary intraocular lens implantation of the pediatric cataract.

关 键 词：儿童白内障二期人工晶状体植入 人工晶状体后囊孔嵌压 人工晶状体脱位 

分 类 号：R779.66[医药卫生—眼科]