CAJ | 학술논문

目的探讨玻璃体切除术后无晶状体眼悬吊式折叠人工晶状体推注器植入术的效果.方法 31例(31眼)建立灌注后,做上方角巩膜隧道切口,8点、2点位予置悬吊线并引出切口外.折叠式人工晶状体装入推注器后推至晶状体袢稍露出,8点位悬吊线打结于晶状体袢.推注器进入前房后植入人工晶状体.末端晶体袢露出隧道切口外,2点位悬吊线打结于另一袢并送入前房,再调整到后房正位后固定悬吊线.结果 30例手术顺利.术后人工晶状体正位.眼压正常,术中1例发生脉络膜下少量出血.术后6个月1例发生人工晶状体脱位再次手术正位,1例术后2周发生视网膜脱离,再行玻璃体切除术治愈.31例最终视力达到术前矫正视力.结论玻璃体切除术后无晶状体眼推注器植入悬吊式折叠人工晶状体避免了术中眼压消失及术后低眼压,优点是切口小,无需缝合,减少散光.但应注意术中技巧.
목적 탐토파리체절제술후무정상체안현조식절첩인공정상체추주기식입술적효과.방법 31례(31안)건립관주후,주상방각공막수도절구,8점、2점위여치현조선병인출절구외.절첩식인공정상체장입추주기후추지정상체번초로출,8점위현조선타결우정상체번.추주기진입전방후식입인공정상체.말단정체번로출수도절구외,2점위현조선타결우령일번병송입전방,재조정도후방정위후고정현조선.결과 30례수술순리.술후인공정상체정위.안압정상,술중1례발생맥락막하소량출혈.술후6개월1례발생인공정상체탈위재차수술정위,1례술후2주발생시망막탈리,재행파리체절제술치유.31례최종시력체도술전교정시력.결론 파리체절제술후무정상체안추주기식입현조식절첩인공정상체피면료술중안압소실급술후저안압,우점시절구소,무수봉합,감소산광.단응주의술중기교.
Objective To evaluate the clinical effect of sulcus fixated foldable intraocular lens implanted by injector in aphakia after vitrectomy.Methods 31 eyes of 31 cases of aphakia after vitrectomy were treated by sulcus fixated foldable intraocular lens implanted by injector.The surgery was performed under stable irrigation and the incision was made at upper limbus.The suspensory suture was placed at 2 o' clock and 8 o' clock.Then the foldable intraocular lens implanted by injector was sutured and localized at ciliary sulcus.Results The surgery was successfully performed in 30 cases and failed in 1 case due to small amount sub choroidal expulsive hemorrhage.Of these 30 cases,the intraocular lens was centered and the intraocular pressure was normal.The surgical complications included retinal detachment in 1 cases at 2 weeks postoperatively which were treated by vitrectomy,and intraocular lens dislocation in 1 case at 6 months postoperatively which was reset by operation.The visual acuities of 31 cases achieved expected visual acuity.Conclusion Sulcus fixated foldable intraocular lens implanted by injector in aphakia eye after vitrectomy has small incision,which minimizes surgery induced astigmatism,and avoid the risk of intraoperative hypotension.