超声生物显微镜协助人工晶状体单襻睫状沟缝线固定术  

Single haptic suture fixation of intraocular lens at ciliary sulcus aided by ultrasound biomicroscopy

作　　者：姚长海[1] 王庆瑛[1] 

机构地区：[1]医科大学附属邢台市人民医院眼科,河北054000

出　　处：《中华眼外伤职业眼病杂志》2015年第10期764-766,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：资助项目：河北省邢台市科技支撑计划项目（2013ZC104）

摘　　要：目的：评价超声生物显微镜（ UBM）协助下人工晶状体单襻睫状沟缝线固定的手术方法和临床疗效。方法人工晶体单襻睫状沟缝线固定术18例（18眼）。其中,术前行UBM检查并依此设计手术方式者11例,设为A组；术前未行UBM检查,按常规手术方式植入者7例,设为B组。术后行UBM检查并记录术中进针位置及人工晶状体位置相关数据进行统计学比较。结果 A组的进针位置位于角膜缘后（0.76±0.11）mm；B组进针位置位于角膜缘后1.0 mm,A组中能确切植入睫状沟者6例（54.55%）,而B组中仅1例（14.29%）。 A组人工晶状体平均偏心（0.4635±0.1655）mm,平均偏位（0.3543±0.3246）mm；B组人工晶状体平均偏心（0.6913±0.2069）mm,平均偏位（0.8351±0.6286）mm。结论超声生物显微镜协助行单襻人工晶状体睫状沟缝线固定术能在一定程度上减少术后人工晶状体偏心和偏位的发生。Objective To evaluate the clinical efficacy of single haptic suture fixation of intraocular lens at ciliary sulcus aided with ultrasound biomicroscopy. Methods Eighteen eyes of eighteen patients were enrolled in this study. They had undergone single haptic suture fixation of intraocular lens at ciliary sulcus. Eleven eyes of eleven patients whose operation plans were designed under the pre-UBM examinations formed group A, while seven eyes of seven patients who received routine haptic suture fixation operation formed group B. After the operation, all the patients took UBM examination, and the data of position of needle insertion and intraocular lens were recorded. Results Position of stitch insertion in group A located in （0. 76 ± 0. 11）mm posterior to corneal limbus, while it was 1. 0 mm in group B. In group A, there were 6 cases（54. 55%） in which haptics of intraocular lens were precisely implanted at ciliary sulcus. While in group B, there was only one eye（14. 29%）. In group A, the intraocular lens tilt was （0. 4635 ± 0. 1655） mm, and the intraocular lens decentration was （0.3543 ±0.3246）mm. In group B, they were （0.6913 ± 0. 2069） mm and （0. 8351 ± 0. 6286） mm respectively. Conclusion Single haptic suture fixation of intraocular lens at ciliary sulcus aided by ultrasound biomicroscopy, can reduce the occurance of postoperative intraocular lens tilt and decentration.

关 键 词：晶状体 人工 缝线固定 单襻 超声生物显微镜 

分 类 号：R779.66[医药卫生—眼科]