23G玻璃体切除联合重水辅助下超声乳化摘除术治疗晶状体后脱位的临床观察  

Clinical Observation on 23G Vitrectomy Combined with Perfluorocarbon Liquid-assisted Phaco-emulsification for the Treatment of Posterior Dislocation of Lenses

作　　者：黄雄高[1] 陈又珍[1] 张秀妮[1] 王玲[1] 

机构地区：[1]中山大学中山眼科中心海南眼科医院,海南海口570311

出　　处：《医学临床研究》2014年第10期1898-1899,1903,共3页Journal of Clinical Research

摘　　要：【目的】探讨23G玻璃体切除重水辅助下脱位晶状体超声乳化摘除治疗晶状体后脱位的疗效。【方法】11例11眼晶状体脱位患者，行23G玻璃体切除后重水浮起脱位晶状体至虹膜平面，常规透明角膜切口行标准超声乳化摘除脱位晶状体。液体‐重水置换吸除重水。连续环形撕囊完整者，植入人工晶状体于睫状沟位或将人工晶状体缝线固定于巩膜，线结埋于巩膜瓣下。观察术后最佳矫正视力、手术并发症。【结果】术后所有患者视力均提高，其中大于0．5者5眼，0．3～0．5者3眼，0．1～0．3者3眼。无术后高眼压，眼内出血，视网膜脱离等并发症。【结论】23G玻璃体切除联合重水下超声乳化摘除人工晶状体植入术治疗晶状体后脱位是一种安全有效的手术方法。[Objective] To explore the efficacy of 23G vitrectomy combined with phacoemulsification under perfluorocarbon liquid（PFCL） for the treatment of posterior dislocation of lenses .[Methods]A total of 11 pa‐tients with posterior dislocation of lenses underwent 23G vitrectomy combined with PFCL .After 23G vitrecto‐my ,the dislocated lenses were raised to the iris plane by using heavy water ,and standard phacoemulsification was performed through routine transparent cornea incision ,and the exchange of liquid‐heavy water was used to remove the heavy water .The patients with completely continuous curvilinear capsulorhexis margin ,intraocular lens（IOL） was inserted into ciliary groove or fixed on sclera by suture ,and the knots were buried under scleral flap .The best‐corrected visual acuity and complications were observed .[Results] Visual acuity of all patients was improved after operation .There were 5 eyes with visual acuity more than 0 .5 ,3 eyes with visual acuity between 0 .3 to 0 .5 and 4 eyes with visual acuity between 0 .1 to 0 .3 .No complications such as postoperative high intraocular pressure ,intraocular hemorrhage and retinal detachment occurred .[Conclusion] The 23G vit‐rectomy combined with PFCL for the treatment of posterior dislocation of lenses is a safe and effective opera‐tion method .

关 键 词：玻璃体切除术/方法 晶体半脱位/外科学 超声乳化白内障吸除术 氟碳化合物/治疗应用 

分 类 号：R776[医药卫生—眼科]