巩膜隧道法人工晶状体睫状沟缝线固定术的临床观察  

Clinical observation on ciliary sulcus suture fixation of intraocular lens with scleral tunnel technique

作　　者：李炳震[1] 刘恩硕 彭荣梅[1] Li Bingzhen;Liu Enshuo;Peng Rongmei(Department of Ophthalmology,Peking University Third Hospital,Peking University Eye Center,Beijing Key Laboratory of Restoration of Damaged Ocular Nerve,Beijing 100191,China)

机构地区：[1]北京大学第三医院眼科、北京大学眼科中心、眼部神经损伤的重建保护与康复北京市重点实验室,北京市100191

出　　处：《国际眼科杂志》2024年第12期1997-2001,共5页International Eye Science

基　　金：国家自然科学基金(No.81800801)。

摘　　要：目的:观察巩膜隧道法人工晶状体(IOL)睫状沟缝线固定术的临床效果。方法:回顾性分析2021-05/2023-09在我院进行巩膜隧道法IOL睫状沟缝线固定术患者36例38眼的临床资料,术后随访3-26 mo。观察患者术后IOL位置、视力、验光、眼压及并发症情况,评估泪膜破裂时间(BUT)、角膜荧光素钠染色(FL)及基础泪液分泌试验(SⅠt)结果。结果:所有术眼在术后3 mo裸眼视力及最佳矫正视力均较术前改善(均P<0.01)。比较术前,术后1、3 mo的眼表状态数据,BUT及FL评分均有差异(均P<0.05)。术后裂隙灯检查IOL位正,未发生线结暴露情况。结论:巩膜隧道法人工晶状体睫状沟缝线固定术是一种安全、高效、微创的手术方法。AIM:To observe the clinical effect of ciliary sulcus suture fixation of intraocular lens(IOL)with the scleral tunnel technique.METHODS:The clinical data of 36 patients(38 eyes)who underwent ciliary sulcus suture fixation of IOL with the scleral tunnel technique in our hospital from May 2021 to September 2023 were retrospectively analyzed.The patients were followed up for a total of 3-26 mo.The postoperative IOL position,visual acuity,refraction,intraocular pressure and complications were observed,and the results of tear film break-up time(BUT),corneal fluorescein staining(FL)and SchirmerⅠtest(SⅠt)were evaluated.RESULTS:The uncorrected visual acuity and best corrected visual acuity of all eyes were improved at 3 mo after surgery(all P<0.01).The differences of BUT and FL score before operation,and at 1 and 3 mo after operation were statistically significant(all P<0.05).Postoperative slit lamp examination showed the IOL of all eyes remained well positioned,and no suture erosion was observed.CONCLUSION:Ciliary sulcus suture fixation of IOL with the scleral tunnel technique is a safe,efficient,and minimally invasive procedure.

关 键 词：人工晶状体 睫状沟 巩膜隧道 治疗结果 并发症 

分 类 号：R779.6[医药卫生—眼科]