改良透明角膜微创小切口折叠人工晶体悬吊术治疗晶状体后囊破裂的疗效  

Efficacy and Safety of Modified Clear Corneal Minimally Invasive Small Incision Folding Intraocular Lens Suspension in the Treatment of Posterior Capsule Rupture

作　　者：杜绍林 李超 周伟 郑文凯 董秀清 DU Shao-lin;LI Chao;ZHOU Wei;ZHENG Wen-kai;DONG Xiu-qing(Department of Ophthalmology,Donghua Hospital,Sun Yat-sen University,Dongguan523000 China)

机构地区：[1]中山大学附属东华医院眼科中心

出　　处：《内蒙古医学杂志》2019年第7期791-793,共3页Inner Mongolia Medical Journal

基　　金：东莞市科技计划项目(编号:2015105101008)

摘　　要：目的探究改良透明角膜微创小切口折叠人工晶体悬吊术治疗晶状体后囊破裂患者的疗效及安全性。方法选取2016年4月至2018年7月我院76例晶状体后囊破裂患者作为研究对象,依据手术方案不同分组,各38例(38眼)。对照组行传统方法治疗,实验组行改良透明角膜微创小切口折叠人工晶体悬吊术。随访6个月,统计对比两组术后并发症发生率及术后3、6个月裸眼视力、散光情况。结果实验组术后3、6个月裸眼视力均优于对照组(P<0.05);实验组术后3、6个月散光度数均较对照组低(P<0.05);随访6个月,实验组术后并发症发生率7.89%较对照组26.32%低(P<0.05)。结论对晶状体后囊破裂患者行改良透明角膜微创小切口折叠人工晶体悬吊术,可有效促进患者视力恢复,显著降低并发症发生率,安全可靠,值得临床推广应用。Objective To investigate the efficacy and safety of modified clear corneal minimally invasive small incision folding intraocular lens suspension in the treatment of posterior capsule rupture.Methods From April 2016 to July 2018,76 patients with posterior capsule rupture of the lens were selected as the study subjects.According to different surgical procedures,38 cases(38 eyes)were included.The control group was treated with traditional methods.The experimental group underwent modified clear corneal minimally invasive small incision folding intraocular lens suspension.After 6 months of follow-up,the incidence of postoperative complications and visual acuity and astigmatism at 3 months and 6 months after surgery were compared statistically.Results The visual acuity of the experimental group was better than that of the control group at 3 and 6 months after operation(P<0.05).The astigmatism of the experimental group was lower than that of the control group at 3 and 6 months after operation(P<0.05).At 6 months,the postoperative complication rate of the experimental group was 7.89%lower than that of the control group(P<0.05).WTHZ〗Conclusions Modified clear corneal minimally invasive small incision folding intraocular lens suspension in patients with posterior capsule rupture can effectively improve visual acuity recovery and significantly reduce the incidence of complications.It is safe and reliable and worthy of clinical application.

关 键 词：晶状体后囊破裂 折叠人工晶体悬吊术 

分 类 号：R779.6[医药卫生—眼科]