国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
12期
2201-2203
,共3页
晶状体植入%晶状体脱位%悬吊术%晶状体襻%折叠型
晶狀體植入%晶狀體脫位%懸弔術%晶狀體襻%摺疊型
정상체식입%정상체탈위%현조술%정상체반%절첩형
lens implantation%lens dislocation%fixation%lens loop%foldable
目的：探讨囊内摘除联合两类人工晶状体( intraocular lens,IOL)做悬吊术治疗晶状体半脱位白内障的临床疗效。<br> 方法：晶状体半脱位患者21例23眼,行晶状体囊内摘除前部玻璃体切割联合IOL悬吊术,依植入IOL类别分为四个闭合襻IOL组和两个C襻IOL组,术后观察视力、眼压、综合验光、眼底,6mo时裂隙灯眼前节摄像系统拍照确定 IOL 偏心值,超声生物显微镜( ultrasound biomicroscopy,UBM)检查确定IOL的倾斜度检查。<br> 结果：所有患眼术后视力均有不同程度的提高。四襻组IOL平均偏心为0.57mm,两襻组平均偏心0.79mm；四襻组IOL平均倾斜度为6°,两襻组平均倾斜度11°,两组间差异均有统计学意义(P<0.05)。<br> 结论：晶状体半脱位术中四个闭合襻IOL做悬吊术后居中性更好,IOL倾斜度更小。
目的：探討囊內摘除聯閤兩類人工晶狀體( intraocular lens,IOL)做懸弔術治療晶狀體半脫位白內障的臨床療效。<br> 方法：晶狀體半脫位患者21例23眼,行晶狀體囊內摘除前部玻璃體切割聯閤IOL懸弔術,依植入IOL類彆分為四箇閉閤襻IOL組和兩箇C襻IOL組,術後觀察視力、眼壓、綜閤驗光、眼底,6mo時裂隙燈眼前節攝像繫統拍照確定 IOL 偏心值,超聲生物顯微鏡( ultrasound biomicroscopy,UBM)檢查確定IOL的傾斜度檢查。<br> 結果：所有患眼術後視力均有不同程度的提高。四襻組IOL平均偏心為0.57mm,兩襻組平均偏心0.79mm；四襻組IOL平均傾斜度為6°,兩襻組平均傾斜度11°,兩組間差異均有統計學意義(P<0.05)。<br> 結論：晶狀體半脫位術中四箇閉閤襻IOL做懸弔術後居中性更好,IOL傾斜度更小。
목적：탐토낭내적제연합량류인공정상체( intraocular lens,IOL)주현조술치료정상체반탈위백내장적림상료효。<br> 방법：정상체반탈위환자21례23안,행정상체낭내적제전부파리체절할연합IOL현조술,의식입IOL유별분위사개폐합반IOL조화량개C반IOL조,술후관찰시력、안압、종합험광、안저,6mo시렬극등안전절섭상계통박조학정 IOL 편심치,초성생물현미경( ultrasound biomicroscopy,UBM)검사학정IOL적경사도검사。<br> 결과：소유환안술후시력균유불동정도적제고。사반조IOL평균편심위0.57mm,량반조평균편심0.79mm；사반조IOL평균경사도위6°,량반조평균경사도11°,량조간차이균유통계학의의(P<0.05)。<br> 결론：정상체반탈위술중사개폐합반IOL주현조술후거중성경호,IOL경사도경소。
AlM:To observe the clinical efficacy of two types of scleral-fixated posterior chamber intraocular lens ( lOL ) combined intra-capsule lens extraction to treat cataract dislocation. <br> METHODS: After intra - capsule lens extraction of dislocated cataract, two types of lOL were used as scleral-fixated posterior chamber lOL . First group was with four seal loops, the second group was with two open loops. All 21 patients (23 eyes) took the examination of the best corrected visual acuity, intraocular pressure, fundus, and lOL decentration using camera system attached to slit - lamp ophthalmoscope and lOL tilted using ultrasound biomicroscopy (UBM) at 6mo after surgery.RESULTS: After 6mo, all patients had improved eye sight. There was significant difference in the mean lOL decentration between the two groups ( 0. 57mm vs 0. 79mm, P<0. 05). There was significant difference in the mean lOL tilted degree between the two groups (6° vs 11°, P<0. 05) . <br> CONCLUSlON: lOL with four loops are more appropriate as scleral-fixated posterior chamber lOL with less tiltness and dicentration.
