CAJ | 학술논문

目的探讨YAG激光联合缝线固定术治疗人工晶状体坠入玻璃体腔的术后效果.方法充分散瞳后用YAG激光切开残存的囊膜,让患者俯卧位使人工晶状体脱入前房,然后用改良的人工晶状体缝线固定术将该人工晶状体固定于睫状沟.结果 12例中有11例的人工晶状体成功固定于睫状沟,这11例术后1周均达到和超过术前最佳矫正视力. 1例用该法没能使人工晶状体脱入前房,而建议行玻切手术.结论用YAG联合后房型人工晶状体缝线固定术处理人工晶状体坠入玻璃体腔,是一种操作简单、创伤小、固定可靠、效果良好的手术方式,大部分患者不需再行玻切术,也不需将人工晶状体从眼球内取出.
목적 탐토YAG격광연합봉선고정술치료인공정상체추입파리체강적술후효과.방법 충분산동후용YAG격광절개잔존적낭막,양환자부와위사인공정상체탈입전방,연후용개량적인공정상체봉선고정술장해인공정상체고정우첩상구.결과 12례중유11례적인공정상체성공고정우첩상구,저11례술후1주균체도화초과술전최가교정시력. 1례용해법몰능사인공정상체탈입전방,이건의행파절수술.결론 용YAG연합후방형인공정상체봉선고정술처리인공정상체추입파리체강,시일충조작간단、창상소、고정가고、효과량호적수술방식,대부분환자불수재행파절술,야불수장인공정상체종안구내취출.
Objective To explore a simple and reliable surgical treatment for intraocular lens (IOL) falling into the vitreous cavity and to evaluate its postoperative results. Methods Firstly, the pupil fully dilated and the remnants of capsular incised by YAG, then, to enable patients to prone position to make IOL off into the anterior chamber, and finally, the IOL fixed in the ciliary sulcus by using an improved suture fixation method. Results Eleven of the 12 cases had been successful with the lens fixed in the ciliary sulcus and the patients had regained as good as pre-operation best corrected visual acuity (BCVA) or better than it within a week, while 1 case was not successful to fix and was advised to receive vitrectomy. Conclusions YAG combined with the ciliary sulcus suture fixing is a simple, less traumatic, reliable, satisfying surgical method for those IOL dislocation into the vitreous cavity.