后房型人工晶状体脱入玻璃体的取出手术效果  

The efficacy of surgery for removal of intraocular lens which prolapsed into vitreous

作　　者：吴琪 刘豪杰[1] 胥利平[1] 周明[1] Wu Qi;Liu Haojie;Xu Liping;Zhou Ming(Department of Ophthalmology,Affiliated Zhongshan Hospital of Dalian University,Dalian 116001,China)

机构地区：[1]大连大学附属中山医院眼科,大连116001

出　　处：《中华眼外伤职业眼病杂志》2018年第9期663-665,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价后房型人工晶状体脱入玻璃体的取出手术效果。 方法回顾性分析2012年10月至2017年10月人工晶状体全脱位于玻璃体16例（16眼）的临床资料。发生于眼挫伤后者11眼，白内障术后无外伤史者5眼。术前最佳矫正视力数指～0.1 。手术方法均采用标准睫状体平坦部三切口闭合式玻璃体切除术，术中注入全氟化碳液体0.5～3.5 ml，经角膜缘隧道切口进行人工晶状体取出及一期或二期睫状沟固定术。术后观察视力、眼压、人工晶状体位置和手术并发症。 结果16眼均顺利取出人工晶状体，13眼行一期手术，3眼行二期后房型人工晶状体睫状沟缝线固定术，术后视力明显提高，最佳矫正视力0.1～0.5。术后出现低眼压1眼，高眼压3眼，药物治疗后均恢复正常。随访期内未出现人工晶状体移位、脱位、线结外露或玻璃体积血等并发症。 结论对人工晶状体全脱位入玻璃体者，采用玻璃体切除联合人工晶状体取出及睫状沟固定术，可明显提高视力和预防并发症的发生。ObjectiveTo evaluate the surgical efficacy of surgery for removal of posterior chamber intraocular lens which prolapsed into the vitreous. MethodsFrom Oct. 2012 to Oct. 2017, the data of 16 eyes of 16 patients with intraocular lens prolapsed into vitreous were analyzed restropectively. The cause was ocular contusion in 11 eyes, after cataract surgery without history of trauma in 5 eyes. The best corrected visual acuity before operation was CF-0.1. Vitrectomy was performed via the standard pars plana closed incision. The perfluorocarbon liquid of 0.5-3.5 ml was injected during operation, and intraocular lens was removed through the tunnel of the corneal limbus. All cases received IOL suture fixation in the ciliary sulcus.The postoperative visual acuity, intraocular pressure, intraocular lens position and complications were observed. ResultsThe intraocular lens were successfully removed in 16 eyes. Thirteen eyes received the posterior chamber intraocular lens with ciliary sulcus suture fixation in one stage, and the visual acuity was improved. The best corrected visual acuity was 0.1-0.5. Postoperatively hypotony occurred in 1 eye, hypertension occurred in 3 eyes, and the intraocular pressure returned to normal after drug treatment. No complication such as intraocular lens decentration or dislocation, suture knot exposure or vitreous hemorrhage occurred. ConclusionVitrectomy combined with intraocular lens removal and ciliary sulcus stature fixation for the treatment of the intraocular lens prolapsed into the vitreous can obviously improve visual acuity and prevent complications.

关 键 词：脱位 晶状体  人工 取出  晶状体 人工  缝合固定术 晶状体 人工 睫状沟 

分 类 号：R779.6[医药卫生—眼科]