CAJ | 학술논문

目的探讨马凡综合征晶状体半脱位安全有效地手术治疗方法.方法对2004年10月至2009年6月在淮南晨光眼科医院就诊的马凡综合征晶状体半脱位患者14例23只眼采用囊袋内超声乳化后房型人工晶状体植入术治疗.23只眼中晶状体半脱位＜90度者4只眼,90 ～120度者15只眼,120～180度者3只眼,＞180度者1只眼.手术方式为先用剪刀在晶状体中上部“一”字形水平剪开前囊膜,水分离,囊袋内超声乳化,黏弹剂推注清扫后囊膜,植入后房型人工晶状体,再撕除瞳孔区前囊膜,形成“口”字形囊袋,灌注吸除残余皮质.结果所有23只眼顺利植入后房型人工晶状体,术后观察3～24个月,视力恢复理想,人工晶状体基本居中,未见并发症.结论对于轻、中度马凡综合征晶状体半脱位的患者,采用囊袋内超声乳化,保留囊袋,原位植入后房型人工晶状体,可获得满意临床效果.
목적 탐토마범종합정정상체반탈위안전유효지수술치료방법.방법 대2004년10월지2009년6월재회남신광안과의원취진적마범종합정정상체반탈위환자14례23지안채용낭대내초성유화후방형인공정상체식입술치료.23지안중정상체반탈위＜90도자4지안,90 ～120도자15지안,120～180도자3지안,＞180도자1지안.수술방식위선용전도재정상체중상부“일”자형수평전개전낭막,수분리,낭대내초성유화,점탄제추주청소후낭막,식입후방형인공정상체,재시제동공구전낭막,형성“구”자형낭대,관주흡제잔여피질.결과 소유23지안순리식입후방형인공정상체,술후관찰3～24개월,시력회복이상,인공정상체기본거중,미견병발증.결론 대우경、중도마범종합정정상체반탈위적환자,채용낭대내초성유화,보류낭대,원위식입후방형인공정상체,가획득만의림상효과.
Objective To discuss a safe surgery method for treatment of Marfan syndrome lens subluxation.Methods Intracapsular phacoemulsification and posterior chamber intraocular lens implantation were performed on 14 cases (23 eyes) of Marfan syndrome lens subluxation.There were 4 eyes lens subluxation less than 90 degree,15 eyes at 90 to 120 degree,3 eyes at 120-180 degree,1 eye at more than 180 degree.Surgery method was as following,horizontally cut the middle and upper anterior capsule,water dissection,intracapsular emulsification,used viscoelastic agent to polish the posterior capsule,implanted posterior chamber intraocular lens,tore the anterior capsule at the pupil region,suct the anterior chamber.Perfusion suction residual cortex.Results All surgeries were performed unevenfully.Observing 3 to 24 months postoperatively,visual acuity recovered well,intraocular lens were at good location,there were no complications.Conclusions Using intracapsular phacoemulsification and posterior chamber intracapsular intraocular lens implantation to treat mild and moderate Marfan syndrome lens subluxation can obtain satisfactory results.