有晶状体眼人工晶状体植入术前眼底检查结果分析  

Analysis of phakic before intraocular lens implantation for fundus examination

作　　者：陈娟[1] 陈忠平[1] 朱睿玲[1] 

机构地区：[1]长沙爱尔眼科医院,中国湖南省长沙市410000

出　　处：《国际眼科杂志》2014年第10期1884-1886,共3页International Eye Science

摘　　要：目的:研究有晶状体眼人工晶状体植入手术前患者术眼三面镜检查的结果,分析其眼底的病理改变,探讨术前眼底检查对早期诊断和处理视网膜病变的临床意义。方法:回顾我院2011-04/2012-04行有晶状体眼人工晶状体植入术患者64例127眼,术前的三面镜下眼底检查结果,对患者年龄、屈光度数、三面镜检查的发现及视网膜光凝的情况进行分析及归纳。结果:患者64例127眼中共34眼(26.8%)发现周边部视网膜病变,其中视网膜裂孔8眼(6.3%),视网膜格子样变性区15眼(11.8%),视网膜霜样变性区5眼(3.9%),视网铺路石样变性区3眼(2.4%),玻璃体视网膜粘连牵引2眼(1.6%),视网膜出血1眼(0.8%)。共25眼术前接受了视网膜光凝。3mo后接受ICL植入手术,术后随访1a无视网膜脱离发生。结论:有晶状体眼人工晶状体植入术前进行三面镜下眼底检查有助于发现患者周边部视网膜的病变及异常,并于术前做出适当的处理,有助于提高手术的安全性,能够指导术后对患者眼底情况的随访。AIM：To investigate the findings of the eyes which were examined preoperatively by three mirror contact lens before the implantation of implantable collamer lens （ ICL） . To analysis the retinal pathological changes and to explore the clinical analysis of early diagnosis and treatment in retinopathy on fundus examination before operation. METHODS：The retrospective case series study included 127 eyes of 64 patients who underwent phakic intraocular lens implantation were received the fundus examination by three mirror from April 2011 to April 2012 in our hospital. The age, refractive diopter, the findings of Goldmann three mirror examination and the condition of retinal photocoagulation were analysed and concluded.RESULTS：A total of 34 eyes （26. 8%） out of all 127 eyes （ 64 cases ） were found to have peripheral retinal pathological changes. Eight eyes （ 6. 3%） with retinal holes, 15 eyes（11. 8%） with retinal lattice degeneration, 5 eyes （ 3.9%） with retina cream degeneration, 3 eyes （2.4%）with retinal paving stone degeneration,2 eyes with vitreoretinal adhesion and traction, 1 eye （ 0. 8%） with retinal hemorrhage. Twenty-five cases were given retinal photocoagulation and then received the ICL implantation after 3mo. The follow - up time was 1a. No retinal detachment happened. CONCLUSION： Phakic before intraocular lens implantation for fundus examination by three mirror is contributed to find the peripheral retinal pathological changes and abnormity. And make the appropriate treatment before operation for improving the security of operation, it can also give help to the postoperative follow-up of the fundus of these patients.

关 键 词：可植入人工晶状体 周边视网膜变性 视网膜光凝 

分 类 号：R779.6[医药卫生—眼科]