晶状体玻璃体切除术后折叠人工晶状体睫状沟悬吊术的效果  

Efficacy of foldable intraocular lens implantation with suture fixation in the ciliary groove after lensovitrectomy

作　　者：马红利 李世洋 肖建和 张小牛 刘雪雁 苏红 

机构地区：[1]解放军150中心医院眼科,洛阳471031

出　　处：《中华眼外伤职业眼病杂志》2017年第10期761-764,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价晶状体玻璃体切除术后无晶状体眼折叠人工晶状体睫状沟悬吊术的临床疗效。方法回顾性分析22例（22眼）玻璃体切除术后的无晶状体眼的临床资料，均经角膜缘行小切VI折叠人工晶状体睫状沟悬吊术。随访6～30个月。结果术中眼压平稳，未出现眼球塌陷、脉络膜脱离、视网膜脱离或脉络膜下爆发性出血等并发症。术后早期5眼出现低眼压，4眼出现高眼压，经药物治疗5～7d后眼压恢复正常；3眼出现少量玻璃体积血，7d后积血吸收。术后末次随访最佳矫正视力均等于或优于术前最佳矫正视力，人工晶状体位置稳定。未出现角膜内皮失代偿、脉络膜下出血、缝线外露、眼内炎、继发性青光眼、视网膜脱离或眼球萎缩等严重并发症。结论经角膜缘小切口行折叠人工晶状体睫状沟悬吊术治疗晶状体玻璃体切除术后无晶状体眼，手术损伤小，并发症少，安全有效。但其远期效果仍需要长期随访观察。Objective To evaluate the efficacy of foldable intraocular lens implantation with suture fixation in the ciliary sulcus in aphakic eyes after lensovitrectomy. Methods The clinical data of 22 eyes of 22 aphakic patients after lensovitreetomy were retrospectively analyzed. All patients were treated with implantation of a foldable posterior chamber intraocular lens with suture fixation through corneal micro incision. Patients were followed up from 6 to 30 months. Results During operation intraocular pressure was stability. No eyeball collapsing, choroid detachment, retinal detachment or expulsion of choroid cavity bleeding occurred. In 22 eyes, early postoperative ocular hypotension happened in 5 eyes and intraocular hypertension in 4 eyes, the lOP recovered to normal after drag treatment for 5 - 7 days. Three eyes with small amount of vitreous hemorrhage were absorbed 7 days after surgery . At the last follow-up time, best corrected visual acuity achieved or exceed preoperative one. The intraocular lens were all in the correct situation. There was no severe complication occurred such as corneal endothelial decompensation, subchoroidal expulsive hemorrhage, suture exposure, endophthalmitis, secondary glaucoma, retinal detachment or eyeball atrophy. Conelusion Foldable intraocular lens implantation with suture fixation in the ciliary sulcus through corneal micro incision for aphakic eyes in patients after lensovitrectomy is a safe and effictive therapy, with small injured and less complications. But the further observation is needed for long- term observation.

关 键 词：无晶状体眼 晶状体玻璃体切除术后 晶状体 人工 后房型 睫状沟缝线固定术 

分 类 号：R779.6[医药卫生—眼科]