中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
2期
120-123
,共4页
台盼蓝%无晶状体眼%睫状沟%缝线固定%折叠人工晶状体
檯盼藍%無晶狀體眼%睫狀溝%縫線固定%摺疊人工晶狀體
태반람%무정상체안%첩상구%봉선고정%절첩인공정상체
Trypan blue%Aphakia%Ciliary sulcus%Suture fixation%Foldable intraocular lens
目的 台盼蓝染色标记技术引进到睫状沟缝线固定人工晶状体手术流程中,评估其术中辅助术者精确定位光学中心的可行性.方法 临床系列病例分析研究.对2010年1月至2013年6月在无锡市第二人民医院眼科就诊的无囊膜支撑的无晶状体眼37例(37只眼)接受睫状沟缝线固定人工晶状体植入术;台盼蓝标记人工晶状体光学中心,术中观测标记点与角膜中心点重合度;术后裂隙灯前段照相分析光学中心位置;对比全部病例术前最佳矫正视力(best corrected visual acuity,BCVA)、术后ld、3个月、6个月的裸眼视力(uncorrected visual acuity,UCVA).结果 术中观察台盼蓝标记点与角膜中心点高度重合31只眼(84％),标记点与角膜中心点偏离6只眼(16％),通过调整线-襻结合位点及缝线张力及时纠正偏位;术后观察全部病例标记点与角膜中心点高度重合,标记点在2周内逐渐肖失;术后第1d UCVA由术前的(0.05±0.03)提高到(0.44±0.19)差异有统计学意义(t=4.63,P =0.0017,P＜0.05),0.5以上占46％ (17/37);术后3个月的UCVA达到(0.56±0.19),0.5以上占65％ (24/37);全部病例未发生人工晶状体缝线松解、人工晶状体脱位、角膜失代偿等并发症.结论 台盼蓝可以提供精确的定位标记,辅助术者及时发现、纠正光学中心的偏位,使整个定位操作更为精准、可控,充分保障睫状沟缝线固定人工晶状体手术所具备的临床优势.
目的 檯盼藍染色標記技術引進到睫狀溝縫線固定人工晶狀體手術流程中,評估其術中輔助術者精確定位光學中心的可行性.方法 臨床繫列病例分析研究.對2010年1月至2013年6月在無錫市第二人民醫院眼科就診的無囊膜支撐的無晶狀體眼37例(37隻眼)接受睫狀溝縫線固定人工晶狀體植入術;檯盼藍標記人工晶狀體光學中心,術中觀測標記點與角膜中心點重閤度;術後裂隙燈前段照相分析光學中心位置;對比全部病例術前最佳矯正視力(best corrected visual acuity,BCVA)、術後ld、3箇月、6箇月的裸眼視力(uncorrected visual acuity,UCVA).結果 術中觀察檯盼藍標記點與角膜中心點高度重閤31隻眼(84％),標記點與角膜中心點偏離6隻眼(16％),通過調整線-襻結閤位點及縫線張力及時糾正偏位;術後觀察全部病例標記點與角膜中心點高度重閤,標記點在2週內逐漸肖失;術後第1d UCVA由術前的(0.05±0.03)提高到(0.44±0.19)差異有統計學意義(t=4.63,P =0.0017,P＜0.05),0.5以上佔46％ (17/37);術後3箇月的UCVA達到(0.56±0.19),0.5以上佔65％ (24/37);全部病例未髮生人工晶狀體縫線鬆解、人工晶狀體脫位、角膜失代償等併髮癥.結論 檯盼藍可以提供精確的定位標記,輔助術者及時髮現、糾正光學中心的偏位,使整箇定位操作更為精準、可控,充分保障睫狀溝縫線固定人工晶狀體手術所具備的臨床優勢.
목적 태반람염색표기기술인진도첩상구봉선고정인공정상체수술류정중,평고기술중보조술자정학정위광학중심적가행성.방법 림상계렬병례분석연구.대2010년1월지2013년6월재무석시제이인민의원안과취진적무낭막지탱적무정상체안37례(37지안)접수첩상구봉선고정인공정상체식입술;태반람표기인공정상체광학중심,술중관측표기점여각막중심점중합도;술후렬극등전단조상분석광학중심위치;대비전부병례술전최가교정시력(best corrected visual acuity,BCVA)、술후ld、3개월、6개월적라안시력(uncorrected visual acuity,UCVA).결과 술중관찰태반람표기점여각막중심점고도중합31지안(84％),표기점여각막중심점편리6지안(16％),통과조정선-반결합위점급봉선장력급시규정편위;술후관찰전부병례표기점여각막중심점고도중합,표기점재2주내축점초실;술후제1d UCVA유술전적(0.05±0.03)제고도(0.44±0.19)차이유통계학의의(t=4.63,P =0.0017,P＜0.05),0.5이상점46％ (17/37);술후3개월적UCVA체도(0.56±0.19),0.5이상점65％ (24/37);전부병례미발생인공정상체봉선송해、인공정상체탈위、각막실대상등병발증.결론 태반람가이제공정학적정위표기,보조술자급시발현、규정광학중심적편위,사정개정위조작경위정준、가공,충분보장첩상구봉선고정인공정상체수술소구비적림상우세.
Objective To evaluate the effectiveness of trypan blue marker technology in ciliary sulcus sutured fixation of intraocular lens (IOL) surgery for clinical application.Methods Non-capsular support aphakia 37 cases (37 eyes) accepted the ciliary sulcus sutured intraocular lens implantation with application of trypan blue marker technology.The IOL optical center were marked and used as location guiders.Location guiders maintained the IOL center and Cornea center on the same axis under the surgery microscope.Intermediacy of IOL optical center was observed postoperatively through photographic analysis of slit lamp microscope.The preoperative best corrected visual acuity (BCVA),postoperative uncorrected visual acuity (UCVA) at 1 day,3 months,6 months were observed.Related techniques and clinical results were discussed.The follow-up period was 6 months.Results All IOL optical center obtained satisfied intermediacy,maintained the same axis with the cornea center,no deviation occurred.UCVA at postoperative day 1 was significantly improved from preoperative 0.05±0.03 up to 0.44±0.19 (t=4.63,P=0.0017),46％ above 0.5; There was no significant difference between preoperative BCVA (0.51±0.10) and UCVA (0.56±0.19) at 3 months postoperatively (t =1.51,P=0.16).Conclusions Trypan blue marker technology can help surgeon find the IOL deviation timely and correct precisely which can conductively maintain the advantage of ciliary sulcus sutured fixation of intraocular lens surgery.
