Artisan虹膜夹型人工晶状体Ⅰ期植入术的临床观察  

Clinical observation of Artisan iris-clip intraocular lens implantation at stage Ⅰ

作　　者：周清[1] 岳辉[1] 任秋锦[1] 

机构地区：[1]中国湖南省长沙市第四医院眼科,410006

出　　处：《国际眼科杂志》2014年第9期1673-1674,共2页International Eye Science

摘　　要：目的:观察Artisan虹膜夹型人工晶状体Ⅰ期植入术治疗白内障伴晶状体大范围脱位的临床疗效。方法:收集本院2007-05/2011-12期间白内障伴晶状体半脱位(由外伤、Marfan氏综合征引起)的患者24例28眼,其中4例8眼为Marfan氏综合征引起的晶状体大范围脱位,其余均为外伤引起的脱位,均行超声乳化白内障吸出术或前段玻璃体切除并Ⅰ期植入Artisan虹膜夹型人工晶状体。术后观察视力、角膜内皮细胞计数、人工晶状体位置和术后并发症。随访时间为6mo。结果:与术前比较,术后最佳矫正视力均有不同程度的提高,术后视力0.1～者20眼,0.5～1.0者8眼,随访1～6mo,没有出现人工晶状体移位、虹膜炎症、虹膜萎缩及角膜失代偿等并发症。结论:白内障伴晶状体大范围脱位手术难度大,但只要术者有丰富的临床经验和高超娴熟的技能,仍可行超声乳化白内障吸出术或前段玻璃体切除并Ⅰ期Artisan虹膜夹型人工晶状体植入术并取得较好的手术效果。AIM： To observe the clinical efficacy of Artisan iris-clip intraocular lens（ IOL） implantation on cataract with a wide range of lens dislocation.METHODS： Twenty-four hospital patients（ 28 eyes） of cataract with lens subluxation by trauma（ 20 patients,20eyes） and Marfan＇s syndrome（ 4 patients,8 eyes） during May 2007 to December 2011 were selected. All of them underwent phacoemulsification or an anterior vitrectomy and Artisan iris- clip IOL implantation at stage Ⅰ.Postoperative visual acuity, corneal endothelial cell count, intraocular lens position and postoperative complications were observed. Follow-up time was 6mo. RESULTS： Compared with the preoperative,postoperative best corrected visual acuity improved to varying degrees,visual acuity of 0.1-0.5 was in 20 eyes,0.5-1.0 in 8 eyes. After followed up 1-6mo,no artificial lens shift, iris inflammation, iris atrophy and corneal decompensation and other complications were observed.CONCLUSION： Cataract surgery with a wide range of lens dislocation is difficult,but as long as surgeons who have a wealth of clinical experience and superb skills,still can carry out phacoemulsification surgery or anterior vitrectomy and Artisan iris- clip IOL implantation and obtain a better outcome.

关 键 词：Artisan虹膜夹型人工晶状体 MARFAN氏综合征 晶状体半脱位 

分 类 号：R779.6[医药卫生—眼科]