中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
Chinese Journal of ocular trauma and occupational eye disease
2015年
10期
764-766
,共3页
晶状体,人工%缝线固定,单襻%超声生物显微镜
晶狀體,人工%縫線固定,單襻%超聲生物顯微鏡
정상체,인공%봉선고정,단반%초성생물현미경
Lens,intraocular%Suture fixation,single haptic%Biomicroscopy,ultrasound
目的：评价超声生物显微镜( UBM)协助下人工晶状体单襻睫状沟缝线固定的手术方法和临床疗效。方法人工晶体单襻睫状沟缝线固定术18例(18眼)。其中,术前行UBM检查并依此设计手术方式者11例,设为A组；术前未行UBM检查,按常规手术方式植入者7例,设为B组。术后行UBM检查并记录术中进针位置及人工晶状体位置相关数据进行统计学比较。结果 A组的进针位置位于角膜缘后(0.76±0.11)mm；B组进针位置位于角膜缘后1.0 mm,A组中能确切植入睫状沟者6例(54.55%),而B组中仅1例(14.29%)。 A组人工晶状体平均偏心(0.4635±0.1655)mm,平均偏位(0.3543±0.3246)mm；B组人工晶状体平均偏心(0.6913±0.2069)mm,平均偏位(0.8351±0.6286)mm。结论超声生物显微镜协助行单襻人工晶状体睫状沟缝线固定术能在一定程度上减少术后人工晶状体偏心和偏位的发生。
目的：評價超聲生物顯微鏡( UBM)協助下人工晶狀體單襻睫狀溝縫線固定的手術方法和臨床療效。方法人工晶體單襻睫狀溝縫線固定術18例(18眼)。其中,術前行UBM檢查併依此設計手術方式者11例,設為A組；術前未行UBM檢查,按常規手術方式植入者7例,設為B組。術後行UBM檢查併記錄術中進針位置及人工晶狀體位置相關數據進行統計學比較。結果 A組的進針位置位于角膜緣後(0.76±0.11)mm；B組進針位置位于角膜緣後1.0 mm,A組中能確切植入睫狀溝者6例(54.55%),而B組中僅1例(14.29%)。 A組人工晶狀體平均偏心(0.4635±0.1655)mm,平均偏位(0.3543±0.3246)mm；B組人工晶狀體平均偏心(0.6913±0.2069)mm,平均偏位(0.8351±0.6286)mm。結論超聲生物顯微鏡協助行單襻人工晶狀體睫狀溝縫線固定術能在一定程度上減少術後人工晶狀體偏心和偏位的髮生。
목적：평개초성생물현미경( UBM)협조하인공정상체단반첩상구봉선고정적수술방법화림상료효。방법인공정체단반첩상구봉선고정술18례(18안)。기중,술전행UBM검사병의차설계수술방식자11례,설위A조；술전미행UBM검사,안상규수술방식식입자7례,설위B조。술후행UBM검사병기록술중진침위치급인공정상체위치상관수거진행통계학비교。결과 A조적진침위치위우각막연후(0.76±0.11)mm；B조진침위치위우각막연후1.0 mm,A조중능학절식입첩상구자6례(54.55%),이B조중부1례(14.29%)。 A조인공정상체평균편심(0.4635±0.1655)mm,평균편위(0.3543±0.3246)mm；B조인공정상체평균편심(0.6913±0.2069)mm,평균편위(0.8351±0.6286)mm。결론초성생물현미경협조행단반인공정상체첩상구봉선고정술능재일정정도상감소술후인공정상체편심화편위적발생。
Objective To evaluate the clinical efficacy of single haptic suture fixation of intraocular lens at ciliary sulcus aided with ultrasound biomicroscopy. Methods Eighteen eyes of eighteen patients were enrolled in this study. They had undergone single haptic suture fixation of intraocular lens at ciliary sulcus. Eleven eyes of eleven patients whose operation plans were designed under the pre-UBM examinations formed group A, while seven eyes of seven patients who received routine haptic suture fixation operation formed group B. After the operation, all the patients took UBM examination, and the data of position of needle insertion and intraocular lens were recorded. Results Position of stitch insertion in group A located in (0. 76 ± 0. 11)mm posterior to corneal limbus, while it was 1. 0 mm in group B. In group A, there were 6 cases(54. 55%) in which haptics of intraocular lens were precisely implanted at ciliary sulcus. While in group B, there was only one eye(14. 29%). In group A, the intraocular lens tilt was (0. 4635 ± 0. 1655) mm, and the intraocular lens decentration was (0.3543 ±0.3246)mm. In group B, they were (0.6913 ± 0. 2069) mm and (0. 8351 ± 0. 6286) mm respectively. Conclusion Single haptic suture fixation of intraocular lens at ciliary sulcus aided by ultrasound biomicroscopy, can reduce the occurance of postoperative intraocular lens tilt and decentration.
