CAJ | 학술논문

目的观察瞳孔成形联合虹膜夹型人工晶状体植入术在外伤性白内障伴有虹膜损伤患眼中的疗效.方法回顾性分析2010年5月至2011年8月在温州医学院附属眼视光医院眼外伤专科采用瞳孔成形联合虹膜夹型人工晶状体植入术治疗外伤性白内障伴有虹膜损伤患者,共8例8只眼.眼球钝挫伤3例,穿通伤5例,术前均确诊为外伤性白内障,其中3例伴有晶状体脱位.术后随访4～11个月,观察术后视力、角膜内皮细胞计数、瞳孔情况及人工晶状体位置、眼压等.结果 8例均成功修补损伤虹膜,顺利植入虹膜夹型人工晶状体.术后视力均达到或超过术前预测视力,术后矫正视力≥0.6共6只眼,占75％.瞳孔正常生理功能基本恢复,无明显畏光、眩光、复视等不适症状.虹膜夹型人工晶状体无明显偏位,无眼压升高、角膜内皮失代偿等情况.结论瞳孔成形联合虹膜夹型人工晶状体植入术是治疗无囊膜支持的无晶状体眼合并虹膜损伤的相对安全、有效的方法之一.
목적 관찰동공성형연합홍막협형인공정상체식입술재외상성백내장반유홍막손상환안중적료효.방법 회고성분석2010년5월지2011년8월재온주의학원부속안시광의원안외상전과채용동공성형연합홍막협형인공정상체식입술치료외상성백내장반유홍막손상환자,공8례8지안.안구둔좌상3례,천통상5례,술전균학진위외상성백내장,기중3례반유정상체탈위.술후수방4～11개월,관찰술후시력、각막내피세포계수、동공정황급인공정상체위치、안압등.결과 8례균성공수보손상홍막,순리식입홍막협형인공정상체.술후시력균체도혹초과술전예측시력,술후교정시력≥0.6공6지안,점75％.동공정상생리공능기본회복,무명현외광、현광、복시등불괄증상.홍막협형인공정상체무명현편위,무안압승고、각막내피실대상등정황.결론 동공성형연합홍막협형인공정상체식입술시치료무낭막지지적무정상체안합병홍막손상적상대안전、유효적방법지일.
Objective To observe the anatomic and functional recovery of Iris-claw intraocular lens (IOL) implantation after iris and pupil reconstruction in traumatic cataract eyes with ruptured iris or dilated pupil.Methods This retrospective case series included 8 eyes of 8 patients with iris and pupil reconstruction combined with iris-claw IOL implantation from May 2010 to August 2011 in the Affiliated Eye Hospital of Wenzhou Medical College.Three were eye blunt injury,5 were penetrating ocular trauma.All patients were diagnosed traumatic cataract,including 3 patients with lens dislocation.Primary outcome measurements included visual acuity,central endothelium cell count,pupil situation,position of IOL,intraocular pressure,etc.Results IOL were implanted and their irises/pupils were repaired successfully.With 4-11 months following up,visual acuity in all of 8 cases was better or equal to the preoperative predictable vision.There were 6 eyes (75％) with the best visual acuity no less than 0.6.Photophobia,dazzling sensation and other symptoms disappeared.No complications of iris-claw IOL dislocation,high intraocular pressure,or corneal decompensation happened in the 8 cases.Conclusions Iris and pupil reconstruction combined with iris-claw IOL implantation is a safe and efficacious option for traumatic cataract eyes with absence of capsule support and ruptured iris or dilated pupil.