国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
11期
1990-1992
,共3页
无线结%巩膜固定%后房型人工晶状体
無線結%鞏膜固定%後房型人工晶狀體
무선결%공막고정%후방형인공정상체
kontless%scleral - fixated%posteriour chamber intraocular lens
目的：：评价无线结巩膜固定缝线后房型人工晶状体( intraocular lens,IOL)手术的安全性和稳定性。方法：回顾性分析2009-01/2014-10在沈阳何氏眼科医院因晶状体脱位、白内障术中后囊膜破裂、玻璃体切割术后无晶状体眼的患者35例39眼的临床资料,手术采用无结扎线结巩膜层间埋线方法固定后房型IOL,术中不制作巩膜瓣。观察和分析术前及术后最佳矫正视力( best-corrected visual acuity,BCVA)、眼压、术后IOL稳定性和相关并发症等。结果：术后3mo,0.1≤BCVA<0.3者9眼(23.1%),0.3≤BCVA<0.5者20眼(51.3%),0.5≤BCVA<0.8者6眼(15.4%),0.8≤BCVA<1.0者4眼(10.3%)；术中2眼出现虹膜根部出血,术后2 wk内完全吸收；术后3眼出现一过性眼压升高,3眼出现角膜水肿,对症用药后均在1wk内恢复正常。术后无1眼出现角膜内皮失代偿、睫状体脱离、视网膜脱离及眼内炎等并发症。术后平均随访时间24(3~60) mo,未见IOL倾斜/脱位、缝线暴露、巩膜固定缝线处变薄和/或溶解等并发症的发生。结论：无线结巩膜缝线固定后房型IOL是无晶状体伴无充分囊膜支撑眼植入后房型IOL安全有效的治疗方法,减少了术后缝线相关并发症的发生。
目的：：評價無線結鞏膜固定縫線後房型人工晶狀體( intraocular lens,IOL)手術的安全性和穩定性。方法：迴顧性分析2009-01/2014-10在瀋暘何氏眼科醫院因晶狀體脫位、白內障術中後囊膜破裂、玻璃體切割術後無晶狀體眼的患者35例39眼的臨床資料,手術採用無結扎線結鞏膜層間埋線方法固定後房型IOL,術中不製作鞏膜瓣。觀察和分析術前及術後最佳矯正視力( best-corrected visual acuity,BCVA)、眼壓、術後IOL穩定性和相關併髮癥等。結果：術後3mo,0.1≤BCVA<0.3者9眼(23.1%),0.3≤BCVA<0.5者20眼(51.3%),0.5≤BCVA<0.8者6眼(15.4%),0.8≤BCVA<1.0者4眼(10.3%)；術中2眼齣現虹膜根部齣血,術後2 wk內完全吸收；術後3眼齣現一過性眼壓升高,3眼齣現角膜水腫,對癥用藥後均在1wk內恢複正常。術後無1眼齣現角膜內皮失代償、睫狀體脫離、視網膜脫離及眼內炎等併髮癥。術後平均隨訪時間24(3~60) mo,未見IOL傾斜/脫位、縫線暴露、鞏膜固定縫線處變薄和/或溶解等併髮癥的髮生。結論：無線結鞏膜縫線固定後房型IOL是無晶狀體伴無充分囊膜支撐眼植入後房型IOL安全有效的治療方法,減少瞭術後縫線相關併髮癥的髮生。
목적：：평개무선결공막고정봉선후방형인공정상체( intraocular lens,IOL)수술적안전성화은정성。방법：회고성분석2009-01/2014-10재침양하씨안과의원인정상체탈위、백내장술중후낭막파렬、파리체절할술후무정상체안적환자35례39안적림상자료,수술채용무결찰선결공막층간매선방법고정후방형IOL,술중불제작공막판。관찰화분석술전급술후최가교정시력( best-corrected visual acuity,BCVA)、안압、술후IOL은정성화상관병발증등。결과：술후3mo,0.1≤BCVA<0.3자9안(23.1%),0.3≤BCVA<0.5자20안(51.3%),0.5≤BCVA<0.8자6안(15.4%),0.8≤BCVA<1.0자4안(10.3%)；술중2안출현홍막근부출혈,술후2 wk내완전흡수；술후3안출현일과성안압승고,3안출현각막수종,대증용약후균재1wk내회복정상。술후무1안출현각막내피실대상、첩상체탈리、시망막탈리급안내염등병발증。술후평균수방시간24(3~60) mo,미견IOL경사/탈위、봉선폭로、공막고정봉선처변박화/혹용해등병발증적발생。결론：무선결공막봉선고정후방형IOL시무정상체반무충분낭막지탱안식입후방형IOL안전유효적치료방법,감소료술후봉선상관병발증적발생。
Abstract?AlM:To evaluate the safety and stability of knotless scleral - fixated posterior chamber intraocular lens ( PClOL) .? METHODS: Thirty - nine eyes of 35 patients with dislocation of lens, capsule broken after cataract extraction or aphakic eyes after vitrectomy were retrospectively analyzed. They were undergone knotless scleral-fixated PClOL without scleral flap from January 2009 to October 2014 at He Eye Hospital in Shenyang. Pre-operative and postoperative best-corrected visual acuity ( BCVA ) , intraocular pressure ( lOP ) , the stability of intraocular lens and complications were observed and analyzed.?RESULTS:The BCVA of 9 eyes ( 23. 1%) were 0. 1≤BCVA<0. 3, 20 (51. 3%) eyes were 0. 3≤BCVA<0. 5, 6 eyes (15. 4%) were 0. 5≤BCVA<0. 8, and 4 eyes (10. 3%) were 0. 8≤BCVA<1. 0 at 3mo postoperatively. Two eyes had mild iridemia intraoperatively, which were absorbed in 2wk. Three eyes had transient ocular hypertension, and three eyes had cornea edema postoperatively, all of them were cured through drug treatment in a week. There had no corneal decompensation, ciliary detachment, retinal detachment and endophthalmitis on any patient. The mean follow-up time was 24 ( 3 ~60 ) mo. There was no complications of lOL tilting/dislocation, suture exposure, scleral attenuation or scleral dissolution postoperatively.?CONCLUSlON:The knotless scleral-fixated PClOL is a safe and effective technique for aphakic eyes with deficient posterior capsular support, which reduces postoperative suture related complications.
