CAJ | 학술논문

目的针对白内障手术中后囊膜破裂提出一种实用的Ⅰ期人工晶状体植入术.方法使用常规无孔一体式硬性人工晶状体,用10-0带针尼龙线缝合固定晶状体上襻于睫状沟内,将下襻直接放入残留的囊袋或者可见囊膜口的睫状沟内.结果8例后囊膜破裂患者均实施了人工晶状体植入联合上襻悬吊手术,术后均恢复了可用视力,随访3个月~6个月均未见晶状体明显移位和后坠.结论硬性晶状体单襻悬吊术Ⅰ期顺利植入人工晶状体,既能提高患者视力,又能避免二次手术带来的痛苦,不增加患者的费用,不需要特殊材料及手术器械,对于基层医院是一种可选的补充手术方式.
목적침대백내장수술중후낭막파렬제출일충실용적Ⅰ기인공정상체식입술.방법사용상규무공일체식경성인공정상체,용10-0대침니룡선봉합고정정상체상반우첩상구내,장하반직접방입잔류적낭대혹자가견낭막구적첩상구내.결과8례후낭막파렬환자균실시료인공정상체식입연합상반현조수술,술후균회복료가용시력,수방3개월~6개월균미견정상체명현이위화후추.결론경성정상체단반현조술Ⅰ기순리식입인공정상체,기능제고환자시력,우능피면이차수술대래적통고,불증가환자적비용,불수요특수재료급수술기계,대우기층의원시일충가선적보충수술방식.
Objective Proposed a practical IOLs implantation in the first stage for posterior capsular rupture during cataract surgery. Methods Suture the upper haptic of one postures hard IOLs without hole onto ciliary sulcus using 10-0 nylon line with needle.Then place the lower haptic into the remaining capsular bag or the ciliary sulcus with visible capsular. Results 8 patients accept IOLs implantation on joint upper haptic suspension surgery without obvious lens displacement or drop during followed up for 3~6 months.All of them recovered useful eyesight. Conclusion Our surgical method can implantation IOLs successfully in the first stage and achieve expected eyesight improvement. Moreover,this method save patients from pain of secondary surgery without increasing extra cost,special materials or surgical instruments. This is an optional supplement operation for basic-level hospitals.