人工晶状体脱位的手术研究进展  

Surgical research progress of intraocular lens dislocation

作　　者：柴丽娜 王睿[1] CHAI Lina;WANG Rui(Department of Ophthalmology,Xi’an No.1 Hospital,Xi’an 710002,China)

机构地区：[1]西安市第一医院眼科,西安710002

出　　处：《中国眼耳鼻喉科杂志》2024年第4期323-328,共6页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：随着白内障超声乳化手术的普及和人工晶状体(IOL)的广泛应用,IOL脱位的发生率日益增加,其发病机制可能与渐进性悬韧带功能不全和晶状体囊袋收缩有关。根据IOL脱位的时间和位置,可分为不同类型。处理IOL脱位的方法包括保守观察、IOL调位术、IOL再固定术和IOL置换术。IOL脱位的治疗方案根据个体病例的临床特征决定,比如采取前入路或后入路玻璃体切除,IOL再固定或置换,IOL缝合或不缝合。对于无囊膜支撑的IOL脱位有多种手术处理方式。认识该疾病、做好早期预防、提高手术技巧、合理使用张力环、加强术后随访、熟练掌握各种IOL脱位的处理方法及适应证,能够最大程度降低IOL脱位的发生及危害。With the popularization of phacoemulsification surgery for cataracts and the widespread use of intraocular lenses (IOL), the incidence of IOL dislocation is increasing. The pathogenesis may be related to progressive zonular dysfunction and capsular contraction. IOL dislocation can be classified into different types according to the timing and location of the IOL dislocation. Management of IOL dislocation includes conservative observation, IOL repositioning, IOL refixation, and IOL replacement. The treatment plan for IOL dislocation is determined by the clinical characteristics of the individual case, such as choosing anterior or pars plana vitrectomy, IOL refixation or replacement, and IOL suture or no suture. There are various surgical treatment methods for IOL dislocation without capsular support. Understanding the disease, early prevention, improving surgical skills, rational use of capsular tension rings, strengthening postoperative follow-up, and mastering treatment methods and the indications for various IOL dislocations can minimize the occurrence and harm of IOL dislocation.

关 键 词：人工晶状体脱位 手术处理 预防 

分 类 号：R776[医药卫生—眼科]