晶状体玻璃体联合手术治疗晶状体脱位30例临床分析  

Clinical analysis of 30 cases of lens dislocation

作　　者：董凯[1] 温跃春[1] 吴章友[1] 孙思勤[1] 柯根杰[1] 

机构地区：[1]安徽医科大学附属省立医院眼科,合肥230001

出　　处：《临床眼科杂志》2014年第4期301-303,共3页Journal of Clinical Ophthalmology

基　　金：安徽省自然科学基金青年项目(AHNSF1408085QH159)

摘　　要：目的观察和分析晶状体玻璃体联合手术对于晶状体脱位的治疗原则、治疗效果和并发症。方法回顾性分析2012年1月至2013年12月收治的晶状体脱位30例(34只眼)患者,观察最佳矫正视力(BCVA)、眼压、术后并发症等指标。结果经直接切除或经角膜缘切口取出,所有患者均成功摘除脱位晶状体;术后患者平均BCVA为4.07±0.83,较术前比较明显提高(2.39±0.86,P<0.01);术后7只眼继发性青光眼患者,眼压恢复正常,5只眼合并视网膜裂孔/脱离者,术后视网膜复位。结论根据晶状体核的硬度和脱位方式,采用不同的晶状体取出方法联合玻璃体手术是目前治疗晶状体脱位提高视力,减少并发症的有效手术方式。Objective To study the treatment strategies,outcomes and complications of lens dislocation. Methods Records of 30 patients（ 30 eyes） with lens dislocation were reviewed. Patients received lens-vitreous surgeries in the Department of Ophthalmology,Anhui Provincial Hospital from January 2012 to December 2013. BCVA,intraocular pressure,and complications were reviewed and analyzed. Results All dislocated lens were successfully removed. Visual acuity significantly improved after surgeries（ 4. 07 ± 0. 83,compared with preoperative visual acuity 2. 39 ± 0. 86,P〈 0. 01）.There were 7 patients developed postoperative glaucoma but were well treated and IOPs restored to normal level completely.There was no postoperative retinal detachment. Conclusion Different lens removal techniques combined with vitrectomy will be needed for the treatment of dislocated lenses. The treatment plan should be individualized based on lens hardness and location.

关 键 词：晶状体脱位 玻璃体手术 晶状体手术 

分 类 号：R779.6[医药卫生—眼科]