CAJ | 학술논문

【目的】探讨23G玻璃体切除重水辅助下脱位晶状体超声乳化摘除治疗晶状体后脱位的疗效。【方法】11例11眼晶状体脱位患者，行23G玻璃体切除后重水浮起脱位晶状体至虹膜平面，常规透明角膜切口行标准超声乳化摘除脱位晶状体。液体‐重水置换吸除重水。连续环形撕囊完整者，植入人工晶状体于睫状沟位或将人工晶状体缝线固定于巩膜，线结埋于巩膜瓣下。观察术后最佳矫正视力、手术并发症。【结果】术后所有患者视力均提高，其中大于0．5者5眼，0．3～0．5者3眼，0．1～0．3者3眼。无术后高眼压，眼内出血，视网膜脱离等并发症。【结论】23G玻璃体切除联合重水下超声乳化摘除人工晶状体植入术治疗晶状体后脱位是一种安全有效的手术方法。
【목적】탐토23G파리체절제중수보조하탈위정상체초성유화적제치료정상체후탈위적료효。【방법】11례11안정상체탈위환자，행23G파리체절제후중수부기탈위정상체지홍막평면，상규투명각막절구행표준초성유화적제탈위정상체。액체‐중수치환흡제중수。련속배형시낭완정자，식입인공정상체우첩상구위혹장인공정상체봉선고정우공막，선결매우공막판하。관찰술후최가교정시력、수술병발증。【결과】술후소유환자시력균제고，기중대우0．5자5안，0．3～0．5자3안，0．1～0．3자3안。무술후고안압，안내출혈，시망막탈리등병발증。【결론】23G파리체절제연합중수하초성유화적제인공정상체식입술치료정상체후탈위시일충안전유효적수술방법。
[Objective] To explore the efficacy of 23G vitrectomy combined with phacoemulsification under perfluorocarbon liquid(PFCL) for the treatment of posterior dislocation of lenses .[Methods]A total of 11 pa‐tients with posterior dislocation of lenses underwent 23G vitrectomy combined with PFCL .After 23G vitrecto‐my ,the dislocated lenses were raised to the iris plane by using heavy water ,and standard phacoemulsification was performed through routine transparent cornea incision ,and the exchange of liquid‐heavy water was used to remove the heavy water .The patients with completely continuous curvilinear capsulorhexis margin ,intraocular lens(IOL) was inserted into ciliary groove or fixed on sclera by suture ,and the knots were buried under scleral flap .The best‐corrected visual acuity and complications were observed .[Results] Visual acuity of all patients was improved after operation .There were 5 eyes with visual acuity more than 0 .5 ,3 eyes with visual acuity between 0 .3 to 0 .5 and 4 eyes with visual acuity between 0 .1 to 0 .3 .No complications such as postoperative high intraocular pressure ,intraocular hemorrhage and retinal detachment occurred .[Conclusion] The 23G vit‐rectomy combined with PFCL for the treatment of posterior dislocation of lenses is a safe and effective opera‐tion method .