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玻璃体切割术后睫状沟缝线固定人工晶状体植入术疗效探讨

Ciliary sulcus sutured intraocular lens implantation after vitrectomy

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【作者】 李秋明; 王文战; 郑广瑛; 杨进献; 张效房;

【Author】 Li Qiuming,Wang Wenzhan,Zheng Guangying,et al. (Department of Ophthalmology,the First Affiliated Hospital of Henan Medical University,Zhengzhou 450052)

【机构】 河南医科大学第一附属医院眼科;

【摘要】 目的探讨玻璃体切割术后睫状沟缝线固定人工晶状体(IOL)植入术的效果、并发症及防治措施。方法用灌注头维持眼压。用睫状体为缝线固定法植入后房型 IOL 21例(21眼)。结果术后矫正视力 0. 1者 1例(占5%),0.2~0.4者4例(占19%),0.5~1.0者16例(占76%)。术中并发症:脉络膜脱离2例,玻璃体出血3例。术后并发症:IOL偏斜1例,视网膜脱离3例。结论 该术式可获得较理想的视力恢复效果。玻璃体切割术后一期植入者并发症较少。术中维持眼压可减少并发症。

【Abstract】 ObjectiveTo study the effects of ciliary sulcus sutured intraocular lens (IOL) implantation after vitrectomy and investigate how to prevent and treat its complications.Methods21 cases (21 eyes) including 4 cases of lens dislocatton into the vitreous,11 cases of traumatic cataract and 6 cases of none lens suffered ciliary sulcus sutured intraocular lens implantation after routine vitrectomy.Results Postoperative correct vision 0.1 in one case(5%),0.2~0.4 in 4 cases (19%),0.5~1.0 in 16 cases(76%).Intraoperative complications included choroidal detechment in 2cases,vitreous hemorrhage in 3 cases.Postoperative complications included IOL deviation in one case and retinal detchment in 3 cases. ConclusionThis surgery can obtain better vision.The complications were less than for IOL implants in the first stage after vitrectomy.Maintaining intraocular pressure during operation can reduce complications.

  • 【文献出处】 眼科研究 ,Chinese Ophthalmic Research , 编辑部邮箱 ,2001年02期
  • 【分类号】R779.66
  • 【下载频次】19
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