中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
4期
270-273
,共4页
瞳孔%虹膜%瞳孔成形术%晶状体
瞳孔%虹膜%瞳孔成形術%晶狀體
동공%홍막%동공성형술%정상체
Pupil%Iris%Coreoplasty%Lens,intraocular
目的 探讨瞳孔异常合并白内障、晶状体脱位或无晶状体眼,行瞳孔成形联合人工晶状体植入术的手术技巧及临床疗效.方法 46例(47眼)均为多种原因导致的伴有虹膜瞳孔异常的白内障、晶状体脱位或无晶状体眼,并行瞳孔成形联合晶状体摘出人工晶状体植入和(或)前段玻璃体切除术.术后随访7～30 d.结果 术后44眼视力提高,3眼视力与术前相同.47眼瞳孔均呈圆形或类圆形,瞳孔位于中央或近中央,但瞳孔直径不一.术后1眼继发性青光眼,行手术治疗.手术消除了术前双瞳孔、不规则瞳孔或瞳孔移位,以及由此产生的影响视力的不良因素,视力显著提高.结论 瞳孔成形联合人工晶状体植入术,在提高视力的同时,能消除畏光、眩光症状,最大程度适应自然光线,提高视觉质量.在当今显微手术时代,准确评价虹膜弹性和伸展性后,利用黏弹剂、各种眼内显微器械和缝线恢复虹膜晶状体隔,根据眼部条件植入人工晶状体,改善和恢复视功能是可行的和必要的.
目的 探討瞳孔異常閤併白內障、晶狀體脫位或無晶狀體眼,行瞳孔成形聯閤人工晶狀體植入術的手術技巧及臨床療效.方法 46例(47眼)均為多種原因導緻的伴有虹膜瞳孔異常的白內障、晶狀體脫位或無晶狀體眼,併行瞳孔成形聯閤晶狀體摘齣人工晶狀體植入和(或)前段玻璃體切除術.術後隨訪7～30 d.結果 術後44眼視力提高,3眼視力與術前相同.47眼瞳孔均呈圓形或類圓形,瞳孔位于中央或近中央,但瞳孔直徑不一.術後1眼繼髮性青光眼,行手術治療.手術消除瞭術前雙瞳孔、不規則瞳孔或瞳孔移位,以及由此產生的影響視力的不良因素,視力顯著提高.結論 瞳孔成形聯閤人工晶狀體植入術,在提高視力的同時,能消除畏光、眩光癥狀,最大程度適應自然光線,提高視覺質量.在噹今顯微手術時代,準確評價虹膜彈性和伸展性後,利用黏彈劑、各種眼內顯微器械和縫線恢複虹膜晶狀體隔,根據眼部條件植入人工晶狀體,改善和恢複視功能是可行的和必要的.
목적 탐토동공이상합병백내장、정상체탈위혹무정상체안,행동공성형연합인공정상체식입술적수술기교급림상료효.방법 46례(47안)균위다충원인도치적반유홍막동공이상적백내장、정상체탈위혹무정상체안,병행동공성형연합정상체적출인공정상체식입화(혹)전단파리체절제술.술후수방7～30 d.결과 술후44안시력제고,3안시력여술전상동.47안동공균정원형혹류원형,동공위우중앙혹근중앙,단동공직경불일.술후1안계발성청광안,행수술치료.수술소제료술전쌍동공、불규칙동공혹동공이위,이급유차산생적영향시력적불량인소,시력현저제고.결론 동공성형연합인공정상체식입술,재제고시력적동시,능소제외광、현광증상,최대정도괄응자연광선,제고시각질량.재당금현미수술시대,준학평개홍막탄성화신전성후,이용점탄제、각충안내현미기계화봉선회복홍막정상체격,근거안부조건식입인공정상체,개선화회복시공능시가행적화필요적.
Objective To evaluate the therapeutic effects and surgical techniques of coreoplasty combined with intraocular lens (IOL) implantation for 46 cases (47eyes) with pupil abnormality and cataract,luxation of lens or aphakia.Method In this retrospective study,47eyes of 46 patients,accompanying with pupil abnormality and cataract,luxation of lens or aphakia caused by various reasons,were treated with coreoplasty combined with IOL implantation and(or) vitrectomy of anterior segment from september 2008 to December 2010 in our hospital.All patients were followed up for 7 days to 30 days.Results Visual acuity improved in 44 eyes post operatively and 3 eyes were as well as before the surgery ; Pupils of eyes with disease were round or nearly round shape,but the diameter of pupils is different.Intraocular pressure of 1 eyes increased postoperatively,but become normol after the surgery.Two-pupils,irregular pupil,pupil shift and adverse factors which effects the vision were eliminated beeouse of the sugery,which is significantly improve visual acuity.Conclusion Besides improving visual acuity,coreoplasty combined with IOL implantation can also eliminate phengophobia and glare,adapt for natural light to biggest extent,and improve visual quality.On the basic of accurately evaluating the iris elasticity and stretchability preoperatively,using viscoelastic agents,all sorts of intraocular microscopic devices and suture line to recover crystal diaphragm of iris,and choosing the way of IOL implantation according to ocular conditions to improve or recover visual function is feasible and necessary.
