中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
5期
620-623
,共4页
马红利%李世洋%蒋骁男%胡萌菲%张小牛
馬紅利%李世洋%蔣驍男%鬍萌菲%張小牛
마홍리%리세양%장효남%호맹비%장소우
马凡综合征%晶状体半脱位%超声乳化术%后房型人工晶状体%睫状沟缝线固定术
馬凡綜閤徵%晶狀體半脫位%超聲乳化術%後房型人工晶狀體%睫狀溝縫線固定術
마범종합정%정상체반탈위%초성유화술%후방형인공정상체%첩상구봉선고정술
Marfan syndrome%Lens subluxation%Phacoemulsification%Posterior chamber IOL%Ciliary groove suture fixation
目的 探讨超声乳化联合折叠式人工晶状体睫状沟固定术治疗马凡综合征晶状体半脱位的安全性及临床疗效.方法 收集2006年2月至2012年12月在解放军150中心医院眼科就诊的马凡综合征伴有晶状体半脱位10例(14只眼)患者的临床资料,其晶状体脱位范围＞90°.所有患者均采用超声乳化摘除晶状体,并行后房型折叠式人工晶状体睫状沟缝线固定.随访6～12个月,观察术后视力、眼压、人工晶状体位置及并发症等.结果 10例(14只眼)患者均成功完成手术.眼内反应及眼压均在治疗后恢复正常.术后末次随访最佳矫正远视力均≥术前最佳矫正远视力,其中0.05～0.2者2只眼(14.3％),0.25～0.5者8只眼(57.1％),0.6～0.8者4只眼(28.6％).所有术眼人工晶状体位置均保持不变.无1只眼出现角膜内皮失代偿、脉络膜下出血、缝线外露、眼内炎、继发性青光眼、视网膜脱离或眼球萎缩等严重并发症.结论 超声乳化联合折叠人工晶状体睫状沟固定术治疗马凡综合征晶状体半脱位,手术操作损伤小,安全稳定,效果良好.远期效果需要进一步观察.
目的 探討超聲乳化聯閤摺疊式人工晶狀體睫狀溝固定術治療馬凡綜閤徵晶狀體半脫位的安全性及臨床療效.方法 收集2006年2月至2012年12月在解放軍150中心醫院眼科就診的馬凡綜閤徵伴有晶狀體半脫位10例(14隻眼)患者的臨床資料,其晶狀體脫位範圍＞90°.所有患者均採用超聲乳化摘除晶狀體,併行後房型摺疊式人工晶狀體睫狀溝縫線固定.隨訪6～12箇月,觀察術後視力、眼壓、人工晶狀體位置及併髮癥等.結果 10例(14隻眼)患者均成功完成手術.眼內反應及眼壓均在治療後恢複正常.術後末次隨訪最佳矯正遠視力均≥術前最佳矯正遠視力,其中0.05～0.2者2隻眼(14.3％),0.25～0.5者8隻眼(57.1％),0.6～0.8者4隻眼(28.6％).所有術眼人工晶狀體位置均保持不變.無1隻眼齣現角膜內皮失代償、脈絡膜下齣血、縫線外露、眼內炎、繼髮性青光眼、視網膜脫離或眼毬萎縮等嚴重併髮癥.結論 超聲乳化聯閤摺疊人工晶狀體睫狀溝固定術治療馬凡綜閤徵晶狀體半脫位,手術操作損傷小,安全穩定,效果良好.遠期效果需要進一步觀察.
목적 탐토초성유화연합절첩식인공정상체첩상구고정술치료마범종합정정상체반탈위적안전성급림상료효.방법 수집2006년2월지2012년12월재해방군150중심의원안과취진적마범종합정반유정상체반탈위10례(14지안)환자적림상자료,기정상체탈위범위＞90°.소유환자균채용초성유화적제정상체,병행후방형절첩식인공정상체첩상구봉선고정.수방6～12개월,관찰술후시력、안압、인공정상체위치급병발증등.결과 10례(14지안)환자균성공완성수술.안내반응급안압균재치료후회복정상.술후말차수방최가교정원시력균≥술전최가교정원시력,기중0.05～0.2자2지안(14.3％),0.25～0.5자8지안(57.1％),0.6～0.8자4지안(28.6％).소유술안인공정상체위치균보지불변.무1지안출현각막내피실대상、맥락막하출혈、봉선외로、안내염、계발성청광안、시망막탈리혹안구위축등엄중병발증.결론 초성유화연합절첩인공정상체첩상구고정술치료마범종합정정상체반탈위,수술조작손상소,안전은정,효과량호.원기효과수요진일보관찰.
Objective To investigate the security and clinical effect of surgical treatment of phacoemulsification and foldable intraocular lens implantation with ciliary groove sutured for lens subluxation in Marfan syndrome.Methods Retrospectively observed clinical data of 14 eyes of 10 cases suffered from Marfan syndrome with significant lens subluxation.The ranges of lens subluxation in all these eyes were more than 90 degree.All eyes were treated in the way that phacoemulsification subluxation lens and implantation of a foldable posterior chamber intraocular lens with ciliary groove sutured.Patients were followed up from 6 to 12 months.The visual acuity,intraocular pressure,intraocular lens situation and complications were recorded.Results All 10 cases (14 eyes) had successful operations.The intraocular inflammatory reaction and pressure were all recovered to normal after therapy.At the last follow-up time,postoperative best corrected distant visual acuity achieved or over preoperative,in which 2 eyes (14.3％) were from 0.05 to 0.2,8 eyes (57.1％) were from 0.25 to 0.5,4 eyes (28.6％) were from 0.6 to 0.8.The intraocular lens was all in the correct situation.There were no severe complications such as corneal endothelial decompensation,subchoroidal hemorrhage,suture exposure,endophthalmitis,secondary glaucoma,retinal detachment and eyeball atrophy and so on.Conclusions The technique of phacoemulsification and foldable intraocular lens implantation with ciliary groove suture is one of the less harmful,safe and efficient therapy for the patients of Marfan syndrome with significant subluxated lens.The further observation is needed for long-term outcome.
