CAJ | 학술논문

目的探讨巩膜“B”形埋线法在人工晶状体悬吊术中应用.方法前瞻性系列病例研究.选择无晶状体或晶状体半脱位患者25例(27眼),对常规巩膜瓣下人工晶状体袢固定的方法进行改良,行“B”形埋线法固定人工晶状体袢,其中悬吊型人工晶状体23眼,带虹膜隔悬吊型人工晶状体4眼,有瞳孔变形、虹膜离断同时进行瞳孔缝合及根部离断修复.术后观察视力、畏光状况、有无缝线暴露、长充血等刺激症状、人工晶状体位置等.结果全部患者术后视力或畏光症状均有所改善.术后视力:0.05～0.6.术中睫状体出血1例,经升高眼内压止血,更换切口,玻璃体腔灌洗积血,之后手术顺利.所有病例观察6～12个月.随访期内无巩膜线结暴露、结膜充血等刺激症状,无感染.临床观察人工晶状体固定位置良好,无人工晶状体移位、倾斜现象.结论采用巩膜“B”形埋线法对传统人工晶状体悬吊术巩膜瓣下的晶状体袢固定切口进行改良,安全有效.
목적 탐토공막“B”형매선법재인공정상체현조술중응용.방법 전첨성계렬병례연구.선택무정상체혹정상체반탈위환자25례(27안),대상규공막판하인공정상체번고정적방법진행개량,행“B”형매선법고정인공정상체번,기중현조형인공정상체23안,대홍막격현조형인공정상체4안,유동공변형、홍막리단동시진행동공봉합급근부리단수복.술후관찰시력、외광상황、유무봉선폭로、장충혈등자격증상、인공정상체위치등.결과 전부환자술후시력혹외광증상균유소개선.술후시력:0.05～0.6.술중첩상체출혈1례,경승고안내압지혈,경환절구,파리체강관세적혈,지후수술순리.소유병례관찰6～12개월.수방기내무공막선결폭로、결막충혈등자격증상,무감염.림상관찰인공정상체고정위치량호,무인공정상체이위、경사현상.결론 채용공막“B”형매선법대전통인공정상체현조술공막판하적정상체번고정절구진행개량,안전유효.
Objective To explore the use of the scleral "B"-shaped embedding method for intraocular lens suspension surgery.Methods Twenty-five patients (27 eyes) with aphakia or lens subluxation were selected for this prospective case series study.Intraocular lens suspension surgery was performed on all eyes.The "B"-shaped embedding method was used to fixate the loop of the intraocular lens instead of using the traditional intraocular lens loop fixation under the scleral flap.The intraocular lenses included the suspension type (23 eyes) and the iris diaphragm suspension type.The eyes with pupil deformation and iris disarticulation were handled during the surgery.Results Visual acuity and photophobia symptoms improved after surgery.Visual acuity after surgery was between 0.05 and 0.6.Ciliary body bleeding during surgery occurred in 1 eye.The bleeding was resolved by increasing intraocular pressure,replacing the incision and vitreous cavity lavage hemorrhage.All patients were followed up for 6-12 months.There was no infection or uncomfortable symptoms caused by exposure of the scleral line knot and conjunctival hyperemia during the follow-up period.The position of the intraocular lens was normal without ectopic or oblique placement.Conclusion The traditional intraocular lens loop fixation under the scleral flap was improved.The use of the scleral "B"-shaped embedding method is worth promoting to widen its acceptance.