CAJ | 학술논문

目的：探讨并总结虹膜夹持型人工晶体（iris clip intraocular lens IOL）植入联合虹膜周切术治疗无晶体眼的临床疗效。方法：对15例15眼无后囊或少后囊存在的无晶体眼进行虹膜夹持型人工晶体植入联合虹膜周切术。术后1天、1周、1月、3月随访，观察术前术后裸眼视力（visual acuity，VA）、最佳矫正视力（best corrected visual acuity，BCVA）、角膜透明性、眼压（intraocular pressure，IOP）、角膜内皮细胞计数（corneal endothelial cells，CECs）及术后并发症情况。结果：术后3月，术后VA较术前显著提高；术前、术后BCVA无显著变化；术后3月角膜均恢复透明（除一眼术前即已因外伤继发角膜瘢翳而混浊），术后3月IOP平稳正常，CECs较术前无或仅有少量减少，无一例出现人工晶状体移位、继发性青光眼、脉络膜脱离、出血、炎症渗出等并发症。结论：虹膜夹持型人工晶体植入联合虹膜周切术治疗无晶体眼，具有屈光矫正效果好、稳定性高、并发症少、操作相对简单、组织损伤小等优点，疗效理想，值得推广。
목적：탐토병총결홍막협지형인공정체（iris clip intraocular lens IOL）식입연합홍막주절술치료무정체안적림상료효。방법：대15례15안무후낭혹소후낭존재적무정체안진행홍막협지형인공정체식입연합홍막주절술。술후1천、1주、1월、3월수방，관찰술전술후라안시력（visual acuity，VA）、최가교정시력（best corrected visual acuity，BCVA）、각막투명성、안압（intraocular pressure，IOP）、각막내피세포계수（corneal endothelial cells，CECs）급술후병발증정황。결과：술후3월，술후VA교술전현저제고；술전、술후BCVA무현저변화；술후3월각막균회복투명（제일안술전즉이인외상계발각막반예이혼탁），술후3월IOP평은정상，CECs교술전무혹부유소량감소，무일례출현인공정상체이위、계발성청광안、맥락막탈리、출혈、염증삼출등병발증。결론：홍막협지형인공정체식입연합홍막주절술치료무정체안，구유굴광교정효과호、은정성고、병발증소、조작상대간단、조직손상소등우점，료효이상，치득추엄。
ObjectiveTo evaluate the therapeutic effect and complications of artisan iris clip intraocular lens ( iols) implantation for various aphakia ;MethodsOperated iris clip intraocular lens ( iols) implantion on 15 cases(15 eyes) aphakia with no or few posterior capsular ,the postoperative visual outcomes(VA and BCVA)、intraocular pressure(IOP)、corneal endothelial cells(CECs) and complications were analyzed in 3 months follow -up ;Results The postoperative visual acuity is significantly improved(preoperative 0.05±0.02,postoperative 0.43±0.15,t=4.58,P<0.05), while the BCVA had no significant changes(preoperative 0.43±0.15, postoperative 0.45±0.17,t=1.72,P>0.05), the postoperative IOP keep normal and stable(14.72±2.53)mmHg,there had no significant less in postoperative CECs (postoperative CECs was(1683.76±506.27)/mm2, preoperative CECs was(1850.97±532.42)/mm2), all corneals recoverd transparent except 1 who has corneal scar because of corneal injury, all cases had no obvious postoperative complications such as IOL displacement、secondary glaucoma、choroid or retinal detachement、bleeding or inflammation effusion,etc.ConclusionThe therapeutic effect of iris clip intraocular lens ( iols) implantion for aphakia is satisfying and worth promoting.