8-0缝线迂回缝合法人工晶状体悬吊术的效果  

The efficacy of 8-0 polypropylene tortuous suture in intraocular lens suspension

作　　者：邵敬芝[1] 杜珊珊[1] 张凤妍[1] Shao Jingzhi;Du Shanshan;Zhang Fengyan(Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Henan Provincial Ophthalmic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院眼科,河南省眼科医院,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2021年第8期635-640,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：国家自然科学基金(81970785);河南省医学科技攻关计划联合共建项目(2018020065)。

摘　　要：目的:探讨8-0缝线迂回缝合法睫状沟固定人工晶状体(IOL)的安全性及稳定性。方法:采用前瞻性研究方法分析郑州大学第一附属医院2019年1月至2020年9月睫状沟缝线固定IOL 63例(72眼)的临床资料,IOL睫状沟悬吊固定均采用8-0聚丙烯缝线、巩膜上迂回缝合的方法。术后随访12个月,观察视力、IOL位置及并发症。结果:术后1周视力(BCVA)优于术前( Z=-4.332, P<0.01)。术后1、6及12个月进行UBM检查,IOL位置居中。随访期间未发生IOL脱位、移位、缝线暴露或眼内炎等并发症。 结论:8-0缝线巩膜上迂回缝合法进行IOL的睫状沟悬吊术可以作为治疗晶状体脱位、悬韧带异常及囊袋缺失无晶状体眼患者的一种选择。Objective To investigate the safety and stability of 8-0 polypropylene suture for scleral interlaminar tortuous suture fixation in intraocular lens(IOL)suspension.Methods A prospective study of the clinical data of 72 eyes of 63 patients with IOL fixed in ciliary sulcus from Jan.2019 to Sep.2020 in the First Affiliated Hospital of Zhengzhou University were conducted.The suspension of IOL was performed by 8-0 polypropylene tortuous suture for scleral suture.The visual acuity,location of IOL and complication were observed for 12 months of follow-up.Results The visual acuity at 1 week after surgery was better than the preoperative visual acuity(Z=-4.332,P<0.01).UBM examinations were performed at 1,6 and 12 months postoperatively,and IOL was in the middle.No IOL dislocation,displacement,suture expose or endophthalmitis occurred during the follow-up period.Conclusion The suspension of IOL performed with 8-0 polypropylene tortuous suture for scleral interlaminar suture can be used as an option for the treatment of lens dislocation,ligament abnormalities and capsular loss patients.

关 键 词：缝线 聚丙烯 8-0 缝合 迂回式 悬吊术 晶状体 人工 

分 类 号：R779.6[医药卫生—眼科]