中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
9期
1090-1093
,共4页
姜皓%刘华%解鹏亮%廖奇志%郁丽娟
薑皓%劉華%解鵬亮%廖奇誌%鬱麗娟
강호%류화%해붕량%료기지%욱려연
眼外伤%晶状体玻璃体切除%折叠人工晶状体%人工晶状体植入系统%改良手术
眼外傷%晶狀體玻璃體切除%摺疊人工晶狀體%人工晶狀體植入繫統%改良手術
안외상%정상체파리체절제%절첩인공정상체%인공정상체식입계통%개량수술
Ocular trauma%Lens-vitrectomy%Foldable intraocular lens%Iol Delivery System%Modified operation
目的 探讨利用改良方式人工晶状体植入系统行二期折叠型人工晶状体缝线固定术,治疗眼外伤晶状体玻璃体切除术后无晶状体眼的手术技巧及疗效.方法 对2011年5月至2012年12月在唐山市眼科医院收治的21例(21只眼)因眼外伤而行晶状体、玻璃体切除术后无晶状体眼,应用改良方法行二期折叠型人工晶状体缝线固定术患者进行回顾性分析,探讨手术技巧、疗效及术后并发症.术后随访3～6个月,平均(4.4±0.5)个月.结果 21只眼一次悬吊成功.手术时间明显缩短,术中未发生明显手术并发症,术后1只眼发生脉络膜脱离,1只眼眼压升高.术后第1天,15只眼的裸眼视力为0.3～0.8,占71.43％ (15/21),术后1周、3、6个月裸眼视力0.3～0.8者分别为17只眼(80.95％,17/21),19只眼(90.48％,19/21)和20只眼(95.24％,20/21).术后3个月裸眼视力较术前最佳矫正视力,差异无统计学意义(t =1.0639,P=0.2936).同一术者改良前、后行折叠型人工晶状体缝线固定术所用平均时间分别为(90.5600±7.2404) min和(69.6190±3.9934) min,手术时间差异比较有统计学意义(t =11.8166,P＜0.01).结论 眼外伤晶状体、玻璃体切除术后应用改良方法使用人工晶状体植入系统行二期折叠人工晶状体缝线固定术,手术时间缩短,手术效果可靠,术中术后并发症少,是治疗眼外伤晶状体、玻璃体切除术后无晶状体眼屈光矫正的理想手术方法.
目的 探討利用改良方式人工晶狀體植入繫統行二期摺疊型人工晶狀體縫線固定術,治療眼外傷晶狀體玻璃體切除術後無晶狀體眼的手術技巧及療效.方法 對2011年5月至2012年12月在唐山市眼科醫院收治的21例(21隻眼)因眼外傷而行晶狀體、玻璃體切除術後無晶狀體眼,應用改良方法行二期摺疊型人工晶狀體縫線固定術患者進行迴顧性分析,探討手術技巧、療效及術後併髮癥.術後隨訪3～6箇月,平均(4.4±0.5)箇月.結果 21隻眼一次懸弔成功.手術時間明顯縮短,術中未髮生明顯手術併髮癥,術後1隻眼髮生脈絡膜脫離,1隻眼眼壓升高.術後第1天,15隻眼的裸眼視力為0.3～0.8,佔71.43％ (15/21),術後1週、3、6箇月裸眼視力0.3～0.8者分彆為17隻眼(80.95％,17/21),19隻眼(90.48％,19/21)和20隻眼(95.24％,20/21).術後3箇月裸眼視力較術前最佳矯正視力,差異無統計學意義(t =1.0639,P=0.2936).同一術者改良前、後行摺疊型人工晶狀體縫線固定術所用平均時間分彆為(90.5600±7.2404) min和(69.6190±3.9934) min,手術時間差異比較有統計學意義(t =11.8166,P＜0.01).結論 眼外傷晶狀體、玻璃體切除術後應用改良方法使用人工晶狀體植入繫統行二期摺疊人工晶狀體縫線固定術,手術時間縮短,手術效果可靠,術中術後併髮癥少,是治療眼外傷晶狀體、玻璃體切除術後無晶狀體眼屈光矯正的理想手術方法.
목적 탐토이용개량방식인공정상체식입계통행이기절첩형인공정상체봉선고정술,치료안외상정상체파리체절제술후무정상체안적수술기교급료효.방법 대2011년5월지2012년12월재당산시안과의원수치적21례(21지안)인안외상이행정상체、파리체절제술후무정상체안,응용개량방법행이기절첩형인공정상체봉선고정술환자진행회고성분석,탐토수술기교、료효급술후병발증.술후수방3～6개월,평균(4.4±0.5)개월.결과 21지안일차현조성공.수술시간명현축단,술중미발생명현수술병발증,술후1지안발생맥락막탈리,1지안안압승고.술후제1천,15지안적라안시력위0.3～0.8,점71.43％ (15/21),술후1주、3、6개월라안시력0.3～0.8자분별위17지안(80.95％,17/21),19지안(90.48％,19/21)화20지안(95.24％,20/21).술후3개월라안시력교술전최가교정시력,차이무통계학의의(t =1.0639,P=0.2936).동일술자개량전、후행절첩형인공정상체봉선고정술소용평균시간분별위(90.5600±7.2404) min화(69.6190±3.9934) min,수술시간차이비교유통계학의의(t =11.8166,P＜0.01).결론 안외상정상체、파리체절제술후응용개량방법사용인공정상체식입계통행이기절첩인공정상체봉선고정술,수술시간축단,수술효과가고,술중술후병발증소,시치료안외상정상체、파리체절제술후무정상체안굴광교정적이상수술방법.
Objective To examine the operative technique and its curative effect of using modified operation with Iol Delivery System secondary foldable intraocular lens with suture fixation to treat aphakic eye after ocular trauma with lens-vitrectomy.Methods Through the retrospective analysis of the 21 patients (21eyes) who was used modified operation to implant foldable intraocular lens secondarily with suture fixation at ciliary sulcus to examine the operative effect,technique and postoperative complication.The postoperative follow-up period was 3-6 months,averaged (4.4±0.5) months.Results All 21 eyes had successful operation at one time.Operation time was shortened obviously and no obvious complication was occurred intraoperatively.Choroidal detachment was observed in 1 eye and ocular hypertension was occurred in 1 eye postoperatively.Uncorrected visual acuity 0.3-0.8 was achieved in 15 eyes (71.43％,15/21) on the first day postoperatively.Uncorrected visual acuity 0.3-0.8 was achieved in 17 eyes (80.95％,17/21),19 eyes (90.48％,19/21),and 20 eyes (95.24％,20/21) at the 1 week,3 and 6 months follow-up respectively.There was not clinical significant difference between visual acuity of pre-operative and post-operative (t =1.0639,P =0.2936).Average operation time was (90.5600±7.2404) minutes and (69.6190±3.9934) minutes before and after the improvement.There was clinical significant difference by using modified operation (t =11.8166,P ＜0.001).Conclusions Using modified operation with Iol Delivery System secondary foldable intraocular implantation with suture fixation at ciliary sulcus is successful to correct aphakic eye after ocular trauma with lens-vitrectomy.
