前房维持器辅助巩膜固定型人工晶状体植入术  

Use of the anterior chamber maintainer in secondary scleral-fixated posterior chamber intraocular lens implantation for aphakia after traumatic surgery

作　　者：黄定国[1] 彭坤[1] 夏红和[1] 郑康铿[1] 

机构地区：[1]汕头大学·香港中文大学联合汕头国际眼科中心,汕头515041

出　　处：《中华眼外伤职业眼病杂志》2016年第2期135-139,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价在前房维持器辅助下巩膜固定型人工晶状体植入术治疗眼外伤术后无晶状体眼的效果及安全性。方法回顾性分析34例眼外伤术后无晶状体眼在前房维持器辅助下巩膜固定型后房型人工晶状体植入术。术后随访3—18个月，观察临床效果及术中、术后并发症。结果34例（34眼）均一次成功植入折叠型人工晶状体，术中眼压平稳，无脉络膜下爆发性出血或眼球塌陷，术后人工晶状体无偏位；术后最后一次随访最佳矫正视力≤0．1者3眼，0．12—0．3者11眼，0．4～0．5者7只眼，≥0．6者10只眼，术后最佳矫正视力与术前最佳矫正视力比较差异无统计学意义（P〉0．05）。结论前房维持器辅助下施行巩膜固定后房型人工晶状体植入术治疗眼外伤术后无晶状体眼具有操作简单，眼压平稳，安全有效的特点。Objective To evaluate the effect and safety of secondary scleral-fixated posterior chamber intraocular lens （PCIOL） implantation using an anterior chamber maintainer for aphakia after traumatic surgery. Methods Thirty-four eyes of 34 cases with aphakia after traumatic surgery were subjected to scleral-fixated PCIOL using an anterior chamber maintainer. The clinical effect and the complications were observed 3 months to 18 months after the operation. Results All operations were performed successfully. There was no complication such as epichoroidal hemorrhage, anterior chamber collapse or intraocular lens dislocation. After 3-18 months follow-up,visual acuity was at ≤0.1 in 3 eyes, 0.12 -0.3 in 11 eyes, 0.4 -0.5 in 7 eyes and ≥0.6 in 10 eyes. The difference between post-and pre-operative best corrected visual acuity was not statistically significant （P 〉 0. 05 ）. Conclusion Secondary scleral-fixated PCIOL implantation using an anterior chamber maintainer is effective to correct aphakia after trauma and provides favorable visual outcomes with low complication rate.

关 键 词：前房维持器 晶状体 人工 无晶状体眼 外份性 

分 类 号：R779.6[医药卫生—眼科]