经微小透明角膜切口推注式人工晶状体缝襻术治疗玻璃体切除术后无晶状体眼  

Treatment of aphakia eyes after vitrectomy with foldable intraocular lens suspensory via transparent corneal minimal incision

作　　者：王文倩 张正培 李甦雁 王嫣 Wang Wenqian;Zhang Zhengpei;LI Suyan;Wang Yan(The Affiliated Xuzhou First People’s Hospital of Xuzhou Medical University, Jiangsu 221002,China)

机构地区：[1]徐州医科大学附属徐州市第一人民医院,221002

出　　处：《临床眼科杂志》2021年第4期339-341,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨经微小透明角膜切口推注式人工晶状体缝襻术治疗玻璃体切除术后无晶状体眼的效果及安全性。方法对37例(37只眼)玻璃体切除术后无晶状体眼采用经2.75 mm透明角膜切口推注式植入并行人工晶状体缝襻术,术后随访3~27个月。结果37例手术均顺利完成,随访结束时21只眼(56.8%)非矫正视力达0.1~0.4;14只眼(37.8%)达0.5~0.8;2只眼达1.0。术中发生眼内少量出血3只眼,发生人工晶状体倾斜2例。结论经2.75 mm透明角膜切口推注式人工晶状体缝襻固定术治疗玻璃体切除术后无晶状体眼手术效果好,损伤小,术后散光小,恢复快,是治疗玻璃体切除术后无晶状体眼较为理想的方法。Objective To evaluate the effect and safety of foldable intraocular lens(IOL)suspensory via transparent corneal minimal incision to treat the aphakia eyes after vitrectomy.Methods 37 aphakia eyes after vitrectomy were performed foldable intraocular lens suspensory implantation through transparent corneal 2.75 mm incision,followed up 3~27 monthes.Results 37 cases were successfully completed,21 eyes(56.8%)had uncorrected visual acuity of 0.1~0.4,14 eyes(37.8%)had that of 0.5~0.8,and 2 eyes had that of 1.0.Intraoperative hemorrhage occurred in 3 cases and abnormal IOL position in 2 cases.Conclusions The secondary foldable intraocular lens suspensory via transparent corneal 2.75 mm incision is a safe and effective method for treating the aphakia after vitrerectomy,while reducing complications.

关 键 词：折叠式人工晶状体 缝襻固定术 玻璃体切除术 

分 类 号：R73[医药卫生—肿瘤]