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联合眼前段重建的二期后房型人工晶体植入术
Clinical study on secondary posterior chamber intraocular lensimplantation combined anterior segment reconstruction
【摘要】 目的探讨联合重建眼前段结构及二期后房型人工晶体植入的方法及效果。方法对36例 43眼伴有不同程度眼前段结构紊乱的无晶体眼患者,行眼前段重建和后房型人工晶体植入术。眼前段重建包括虹膜粘连松解、瞳孔成形、瞳孔区机化膜切开、前段玻璃体切除术等。结果均顺利植入后房型人工晶体。随访6-12个月。术后视力≥0.3者36眼,占83.7%;瞳孔圆形者33眼,占76.7%;人工晶体正位者38 眼,占88.4%;无严重并发症。结论在具备良好的手术条件、熟练的显微操作技术下,联合眼前段重建的二期后房型人工晶体植入术可获得满意的效果。
【Abstract】 Objective To eveluate the methods and effects of multiple combined surgery anterior segment reconstruction and secondary posterior chamber intraocular lens implantation. Methods Secondary intraocular lens implantation combined anterior segment was reconstructed in 43 aphakias with different anterior segment disorders. Anterior segment reconstruction included:synechotomy, reposition of iridodialysis, pupil reformation, membranctomy in the pupil erea,anterior vitrectomy. Results The surgery was successful in all patients. The patients were followed up in 6-12 months.The postoperative visual acuities in 36 eyes were ≥0. 3(83. 7% ) and round pupil in 33 eyes (76. 7 % ). No severe complications happened. Conclusion It can have better effect to perform of anterior segment reconstruction and secondary posterior chamber intraocular lens implantation in different conditions with surgeryskill and better equipment.
【Key words】 Lens Implantation, intraocular; Anterior segment reconstruction; Lenses, intraocular;
- 【文献出处】 中国基层医药 ,Chinese Journal of Primary Medicine and Pharmacy , 编辑部邮箱 ,2005年11期
- 【分类号】R779.6
- 【被引频次】1
- 【下载频次】16