CAJ | 학술논문

目的：探讨人工晶状体睫状沟固定术中采用无结膜伤口巩膜隧道法的可行性和有效性。方法自2013年1月至2014年12月对15例（15只眼）无晶状体囊眼患者行无结膜伤口巩膜隧道人工晶状体睫状沟固定术，观察术中植入情况和术后视力、人工晶状体位置及术后异物感、结膜充血等情况。结果所有病例均顺利植入人工晶状体，术后随访1～3个月，视力均有不同程度提高，人工晶状体位置正，异物感及结膜充血轻微，术后恢复快，患者舒适度、满意度高，无严重术后并发症发生。结论无结膜伤口巩膜隧道法在人工晶状体睫状沟术是可行和有效的，长期的并发症有待进一步观察。
목적：탐토인공정상체첩상구고정술중채용무결막상구공막수도법적가행성화유효성。방법자2013년1월지2014년12월대15례（15지안）무정상체낭안환자행무결막상구공막수도인공정상체첩상구고정술，관찰술중식입정황화술후시력、인공정상체위치급술후이물감、결막충혈등정황。결과소유병례균순리식입인공정상체，술후수방1～3개월，시력균유불동정도제고，인공정상체위치정，이물감급결막충혈경미，술후회복쾌，환자서괄도、만의도고，무엄중술후병발증발생。결론무결막상구공막수도법재인공정상체첩상구술시가행화유효적，장기적병발증유대진일보관찰。
Objective To evaluate the feasibility and effect of the scleral tunnel without conjunctival incision in the intraocular lens ( IOL) implantation and ciliary sulcus fixation.Methods Fifteen patients who underwent scleral tun-nels without conjunctival incision between January 2013 and December 2014 were enrolled in this study.The procedure of IOL implantation, postoperative visual acuity, IOL position, foreign body sensation, and conjunctival congestion were ob-served.Results All patients were implanted with IOLs successfully.All cases were followed up for 1 to 3 months.Visual acuity increased in different degrees.All IOLs were in appropriate places.Foreign body sensation and conjunctival conges-tion was mild.Recovery was fast, and patient’ s comfort and satisfaction was high.There was no serious complication. Conclusion Scleral tunnel without conjunctival incision is a feasible and effective method for IOL implantation and ciliary sulcus fixation.Long-term complications need further observed.