CAJ | 학술논문

目的探讨人工晶状体完全脱位坠入玻璃体腔,手术过程中人工晶状体的捞取和固定的不同处理方法.方法回顾性分析8例(8只眼)人工晶状体完全脱入玻璃体腔者采用人工晶状体取出置换,原人工晶状体缝合固定,玻璃体腔内捞取人工晶状体不用重水等方法,观察手术疗效及并发症.结果人工晶状体脱位原因有晶状体悬韧带断裂,囊袋及人工晶状体脱位1例,囊膜不完整人工晶状体脱落6例,前房人工晶状体外伤后脱位1例.2例脱位人工晶状体摘出,置换缝合固定型人工晶状体;6例脱位的人工晶状体睫状沟缝合固定,脱位人工晶状体不摘出,减少摘出时扩大切口的创伤.结论脱位入玻璃体腔内的人工晶状体如植入不适当可取出置换,大部分脱位的人工晶状体可不摘出,行睫状沟缝合固定,能明显提高视力,减少并发症.
목적 탐토인공정상체완전탈위추입파리체강,수술과정중인공정상체적로취화고정적불동처리방법.방법 회고성분석8례(8지안)인공정상체완전탈입파리체강자채용인공정상체취출치환,원인공정상체봉합고정,파리체강내로취인공정상체불용중수등방법,관찰수술료효급병발증.결과 인공정상체탈위원인유정상체현인대단렬,낭대급인공정상체탈위1례,낭막불완정인공정상체탈락6례,전방인공정상체외상후탈위1례.2례탈위인공정상체적출,치환봉합고정형인공정상체;6례탈위적인공정상체첩상구봉합고정,탈위인공정상체불적출,감소적출시확대절구적창상.결론 탈위입파리체강내적인공정상체여식입불괄당가취출치환,대부분탈위적인공정상체가불적출,행첩상구봉합고정,능명현제고시력,감소병발증.
Objective To analyze the causes,operative methods and the clinical results of patients with dislocated intraocular lens (IOL) in vitreous cavity.Methods eight eyes of 8 cases of dislocated IOL in vitreous cavity were analyzed retrospectively.The causes,surgical treatment and complications of IOL falling into the vitreous cavity were concluded.Results The causes of intraocular lens dislocation included lens zonules broken (1 case),incomplete capsular membrane (6 cases) and trauma (1 case).Two patients were treated with removing dislocated IOLs and transscleral suture fixation of new IOLs.For the other 6 eyes,the original dislocated IOLs were sutured to the ciliary sulcus without expanding the incision.Conclusion Some dislocated IOLs can be treated by removing and transscleral suture fixation of a new IOL.For most dislocated IOLs,the original IOLs can be sutured to the ciliary sulcus,which has good clinical effect with few surgical complications.