CAJ | 학술논문

目的探讨应用人工晶状体植入系统行二期折叠型人工晶状体缝线固定术治疗眼外伤晶状体玻璃体切除术后无晶状体眼的手术技巧及疗效.方法对25例(25只眼)因眼外伤而行晶状体、玻璃体切除术后无晶状体眼行二期折叠型人工晶状体缝线固定术患者进行回顾性分析,探讨手术技巧、疗效及术后并发症.术后随访时间3～6个月.结果 25只眼均一次悬吊成功.术中无明显手术并发症,术后1只眼发生脉络膜脱离,2只眼眼压升高,1只眼术后发生眼内出血,经药物治疗后于15d内吸收.术后第1天的裸眼视力0.3-0.8者占72.00％,术后1周、3个月、6个月裸眼视力0.3-0.8者分别占80.00％,92.00％和96.00％.术后3月裸眼视力较术前最佳矫正视力无统计学意义(t=1.8912,P＞0.05).结论眼外伤晶状体、玻璃体切除术后应用人工晶状体植入系统行二期折叠人工晶状体缝线固定术,手术效果可靠,术中术后并发症少,是治疗眼外伤晶状体、玻璃体切除术后无晶状体眼屈光矫正的理想手术方法.
목적 탐토응용인공정상체식입계통행이기절첩형인공정상체봉선고정술치료안외상정상체파리체절제술후무정상체안적수술기교급료효.방법 대25례(25지안)인안외상이행정상체、파리체절제술후무정상체안행이기절첩형인공정상체봉선고정술환자진행회고성분석,탐토수술기교、료효급술후병발증.술후수방시간3～6개월.결과 25지안균일차현조성공.술중무명현수술병발증,술후1지안발생맥락막탈리,2지안안압승고,1지안술후발생안내출혈,경약물치료후우15d내흡수.술후제1천적라안시력0.3-0.8자점72.00％,술후1주、3개월、6개월라안시력0.3-0.8자분별점80.00％,92.00％화96.00％.술후3월라안시력교술전최가교정시력무통계학의의(t=1.8912,P＞0.05).결론 안외상정상체、파리체절제술후응용인공정상체식입계통행이기절첩인공정상체봉선고정술,수술효과가고,술중술후병발증소,시치료안외상정상체、파리체절제술후무정상체안굴광교정적이상수술방법.
Objective To examine the operative technique and its curative effect of secondary foldable intraocular lens using IOL Delivery System with suture fixation to treat aphakic eye after ocular trauma with lens-vitrectomy.Methods Through the retrospective analysis of the 25 patients (25 eyes) who was implanted foldable intraocular lens secondarily with suture fixation at ciliary sulcus to examine the operative effect,technique and postoperative complication.The postoperative follow-up period was 3～6 months.Results Twenty-five eyes had successful operation at one time.No obvious complication was occurred intraoperatively.Choroidal detachment was observed in 1 eye and ocular hypertension was occurred in 2 eyes postoperatively.One eye had hemalopia that disappeared after 15 days by medicine treatment.Uncorrected visual acuity 0.3-0.8 was achieved in 18 eyes (72.00％) on the first day postoperatively.Uncorrected visual acuity 0.3-0.8 was achieved in 20 eyes (80.00％),23 eyes (92.00％),and 24 eyes (96.00％) at the 1-week,3-month,and 6-month follow-up respectively.There was not a clinical significant difference between visual acuity of pre-operative and post-operative (t =1.8912,P ＞0.05).Conclusions Using IOL Delivery System secondary foldable intraocular implantation with suture fixation at ciliary sulcus is successful to correct aphakic eye after ocular trauma with lens-vitrectomy.