CAJ | 학술논문

目的探讨开放襻前房型人工晶状体(AC-IOL)取出的原因及其眼内植入的安全性.方法回顾性系列病例研究.分析1999至2009年28例(28只眼)曾行开放襻AC-IOL取出的患者资料,分析其IOL型号、原发病、眼内植入时间、取出原因及治疗结果等.结果 28例患者使用的IOL均为新型弹性开放襻AC-IOL;有21例(75%)患者原发病为眼部外伤;IOL眼内植入时间平均(6.1±3.1)年(0.3～11.0年);取出原因中大泡性角膜病变占首位42.9%(12/28),其次为继发性青光眼32.1%(9/28),视网膜脱离和IOL脱位分别占17.9%(5/28)和7.1%(2/28);对6例大泡性角膜病变患者施行了单纯AC-IOL取出,另6例大泡性角膜病变患者同时联合了穿透性角膜移植术;对9例继发性青光眼患者施行了AC-IOL取出联合小梁切除术.结论大泡性角膜病变和继发性青光眼是开放襻AC-IOL取出的主要原因,开放襻AC-IOL眼内植入需严格掌握手术适应证,同时需要定期随访.(中华眼科杂志,2011,47:546-549)
목적 탐토개방반전방형인공정상체(AC-IOL)취출적원인급기안내식입적안전성.방법 회고성계렬병례연구.분석1999지2009년28례(28지안)증행개방반AC-IOL취출적환자자료,분석기IOL형호、원발병、안내식입시간、취출원인급치료결과등.결과 28례환자사용적IOL균위신형탄성개방반AC-IOL;유21례(75%)환자원발병위안부외상;IOL안내식입시간평균(6.1±3.1)년(0.3～11.0년);취출원인중대포성각막병변점수위42.9%(12/28),기차위계발성청광안32.1%(9/28),시망막탈리화IOL탈위분별점17.9%(5/28)화7.1%(2/28);대6례대포성각막병변환자시행료단순AC-IOL취출,령6례대포성각막병변환자동시연합료천투성각막이식술;대9례계발성청광안환자시행료AC-IOL취출연합소량절제술.결론 대포성각막병변화계발성청광안시개방반AC-IOL취출적주요원인,개방반AC-IOL안내식입수엄격장악수술괄응증,동시수요정기수방.(중화안과잡지,2011,47:546-549)
Objective To analyze the cause of flexible open-loop anterior chamber intraocular lenses (AC-IOL) extraction and to evaluate the safety of these lenses implantation. Methods This retrospective study comprised 28 patients (28 eyes) who had received open-loop AC-IOL extraction from 1999 to 2009 in our hospital. Several factors of these patients were analyzed, including the type of AC-IOL, primary disease, the intraocular duration of AC-IOL, the cause of AC-IOL extraction and therapeutic result. Results All of the AC-IOL used were modern flexible open-loop AC-IOL. Twenty one patients were implanted AC-IOL because of ocular trauma; the average intraocular duration of the AC-IOL was (6.1±3.1) years. In the causes of AC-IOL extraction, bullous keratopathy was the most common cause, accounted for 42.9% (12/28); secondary glaucoma, retinal detachment and lens dislocation accounted for 32.1% (9/28), 17.9% (5/28) and 7.1% (2/28), respectively. In the 12 cases with bullous keratopathy, 6 cases just received AC-IOL extraction and the others received penetrate corneal transplantation. Six cases with secondary glaucoma received AC-IOL extraction combined with trabeculectomy. Conclusions Bullous keratopathy and secondary glaucoma are the two most common causes for open-loop AC-IOL extraction. The patients who will receive AC-IOL implantation need an adequate selection and must be followed properly.