中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2010年
4期
300-302
,共3页
后囊,破裂%晶体,人工%袋/沟,植入
後囊,破裂%晶體,人工%袋/溝,植入
후낭,파렬%정체,인공%대/구,식입
Posterior capsule,rupture%Lenses,intraocular%Bag/sulcus,implantation
目的 观察Akreos Adapt亲水性丙烯酸酯折叠式人工晶状体(IOL)十字形袋/沟固定法植入在外伤后或白内障术中出现的后囊大破孔时应用的临床效果.方法 对31例(31眼)后囊大破孔者采用十字形袋/沟固定法植入Akreos Adapt亲水性丙烯酸酯折叠式IOL.随访期内观察其术后视力及视觉症状、术后炎症反应、IOL位置及固定状态、囊膜混浊程度、瞳孔和眼压等情况.结果 术后所有眼视力均较术前提高,最佳矫正视力0.1～0.2者4眼,0.3～0.4者5眼,≥0.5者22眼.所有术眼的IOL均在位,基本居中、无移位,视轴透明,未见严重的术后炎症反应或IOL相关并发症,瞳孔及眼压正常.结论 在后囊大破孔但连续环形撕囊完整时可采用十字形袋/沟固定法植入Akreos Adapt亲水性丙烯酸酯折叠式IOL,该法简便、快捷、安全,植入后IOL位置稳定居中,并有良好的生物相容性和眼内稳定性.
目的 觀察Akreos Adapt親水性丙烯痠酯摺疊式人工晶狀體(IOL)十字形袋/溝固定法植入在外傷後或白內障術中齣現的後囊大破孔時應用的臨床效果.方法 對31例(31眼)後囊大破孔者採用十字形袋/溝固定法植入Akreos Adapt親水性丙烯痠酯摺疊式IOL.隨訪期內觀察其術後視力及視覺癥狀、術後炎癥反應、IOL位置及固定狀態、囊膜混濁程度、瞳孔和眼壓等情況.結果 術後所有眼視力均較術前提高,最佳矯正視力0.1～0.2者4眼,0.3～0.4者5眼,≥0.5者22眼.所有術眼的IOL均在位,基本居中、無移位,視軸透明,未見嚴重的術後炎癥反應或IOL相關併髮癥,瞳孔及眼壓正常.結論 在後囊大破孔但連續環形撕囊完整時可採用十字形袋/溝固定法植入Akreos Adapt親水性丙烯痠酯摺疊式IOL,該法簡便、快捷、安全,植入後IOL位置穩定居中,併有良好的生物相容性和眼內穩定性.
목적 관찰Akreos Adapt친수성병희산지절첩식인공정상체(IOL)십자형대/구고정법식입재외상후혹백내장술중출현적후낭대파공시응용적림상효과.방법 대31례(31안)후낭대파공자채용십자형대/구고정법식입Akreos Adapt친수성병희산지절첩식IOL.수방기내관찰기술후시력급시각증상、술후염증반응、IOL위치급고정상태、낭막혼탁정도、동공화안압등정황.결과 술후소유안시력균교술전제고,최가교정시력0.1～0.2자4안,0.3～0.4자5안,≥0.5자22안.소유술안적IOL균재위,기본거중、무이위,시축투명,미견엄중적술후염증반응혹IOL상관병발증,동공급안압정상.결론 재후낭대파공단련속배형시낭완정시가채용십자형대/구고정법식입Akreos Adapt친수성병희산지절첩식IOL,해법간편、쾌첩、안전,식입후IOL위치은정거중,병유량호적생물상용성화안내은정성.
Objective To observe the clinical results of Akreos adaptable foldable intraocular lens (IOL) implantation when the posterior capsule has a large rupture. Methods Thirty-one cataract cases (31 eyes) with a large rupture in the posterior capsule underwent Akreos adaptable foldable IOL implantation with crossed bag/sulcus fixation. Of these, 9 had traumatic cataracts and 22 had age-related cataracts. A continuous curvilinear capsulorhexis (CCC) technique was used and the diameters were about 5.0-5.5 mm. When the posterior capsule rupture was found during the operation, after the cortex or vitreous loss was cleanly managed with a vitreous cutter, the IOL was first implanted into the anterior chamber, the two haptics from the opposite angles were then pressed into the capsular bag. The remaining haptics were left on the surface of the anterior capsule. Thus,the IOL was implanted with crossed bag/sulcus fixation. Visual acuity, visual symptoms, the position and fixation of the IOL, inflammatory reaction and posterior capsule opacity were assessed postoperatively. All cases were followed up for at least 3 months. Results The visual acuity of all surgical eyes was improved after the operation. The best corrected visual acuity was 0.1-0.2 in 4eyes, 0.3-0.4 in 5 eyes, and ≥0.5 in 22 eyes. The implanted IOL remained centered and stable in all surgical eyes and no displacement was observed. The optics of the IOL and the posterior capsule holes were clear without fibroplasias. The pupils were centered and no posterior synechia, severe inflammation, IOL-related complications or glare occurred. Conclusion While a posterior capsule with a large rupture appeared, good CCC is still possible during the operation. The use of crossed bag/sulcus fixation to implant the Akreos adaptable foldable IOL is easy and safe. The IOL position is centered and no displacement occurred after the implantation. The results show good biocompatibility and stability with low postoperative inflammation and low posterior capsule opacity (PCO) due to its sharp edge.
