晶状体半脱位白内障手术治疗的临床探讨  

Surgical treatment of subluxated lens with cataract

作　　者：陈茂盛 孙勇 姜德[2] 何青松 

机构地区：[1]新疆麦格眼科医疗合作中心,乌鲁木齐830049 [2]新疆石油管理局克拉玛依职工总医院眼科

出　　处：《中华眼科杂志》2003年第11期683-685,共3页Chinese Journal of Ophthalmology

摘　　要：目的　探讨治疗晶状体悬韧带断离致白内障晶状体半脱位的有效方法。方法　分别对2 7例 (2 7只眼 )白内障晶状体半脱位患者行超声乳化白内障吸除人工晶状体植入术 (2 1只眼 )和小切口现代囊外白内障摘除人工晶状体植入术 (6只眼 ) ,术后观察和总结患者的视力变化情况、人工晶状体的位置及手术并发症。结果　全部患者术后视力均有提高 ,术后 3d视力为 0 1～ 0 4者 6只眼 ,0 5～ 0 8者 2 1只眼 ;术后 1个月视力为 0 1～ 0 4者 7只眼 ,0 5～ 0 8者 2 0只眼。正常瞳孔下 1只眼可见人工晶状体上缘 ,散瞳后 2只眼人工晶状体偏位 ,均无复视症状发生 ;术中和术后均无严重并发症发生。结论　只要具有熟练的手术技巧 ,选择最佳手术方式 ,手术治疗晶状体半脱位白内障可取得良好效果。Objective To study the surgical treatment of the subluxated lens with cataract caused by broken suspensory ligament of the lens. Methods Phacoemulsification combined with intraocular lens implantation was performed in 21 eyes. Extracapsular cataract extraction with small-incision was performed in 6 eyes. The visual acuity, the position of IOL, and the postoperative complications were observed and analyzed. Results Postoperative vision was increased in all patients. Vision 3 days after the operation was 0.1-0.4 in 6 eyes and 0.5-0.8 in 21 eyes. Vision 1 month after the operation was 0.1-0.4 in 7 eyes and 0.5-0.8 in 20 eyes. The up-edge of IOL could be observed at normal pupil in only one eye. IOL positions were found to be diverged after dilation of the pupil in 2 eyes; no diplopia was experienced. There were no serious complications during or after the operation. Conclusion If the operator has perfect skill and chooses the optimal method, a good result can be obtained in surgical treatment of the subluxated lens.

关 键 词：晶状体半脱位 白内障 手术治疗 人工晶状体植入术 

分 类 号：R779.66[医药卫生—眼科]