巩膜隧道内固定折叠晶体治疗玻切术后无晶体眼的临床观察

发布时间：2019-03-11 08:36

【摘要】：目的:评价巩膜隧道内固定折叠人工晶状体治疗晶状体玻璃体切除术后无晶状体眼的临床疗效。方法:回顾性分析37例37眼巩膜隧道内固定折叠人工晶状体治疗晶状体玻璃体切除术后无晶状体眼的临床资料。37例37眼均为晶状体玻璃体切除术后3个月以上无囊膜、无晶体,进行Ⅱ期手术,观察手术前后视力,术中及术后并发症。结果:术中3例(8.1%)做主切口时出现短暂低眼压,4例(10.8%)于长针和BD针穿过睫状体进入后房时有少量出血,术中经术者的处理,手术均顺利完成;术后37例均无低眼压、玻璃体积血、视网膜脱离、继发性青光眼、角膜失代偿等并发症,1例术后人工晶状体偏位,未予特殊处理;采用方差分析比较术前矫正视力、术后1日、术后7日、术后1个月、末次视力差异无统计学意义,但观察具体视力值,发现部分患者术后视力较术前矫正视力好。比较术前SIM K值、术后7日、术后1个月、末次随访SIM K值,差异无统计学意义,术后1个月SIM K值趋于稳定。结论:巩膜隧道内固定折叠人工晶状体安全有效,是治疗晶状体玻璃体切除术后无晶状体眼较好的选择之一。
[Abstract]:Objective: to evaluate the clinical efficacy of foldable intraocular lens fixation with scleral tunnel in the treatment of aphakic eyes after vitrectomy. Methods: the clinical data of 37 cases (37 eyes) of patients with aphakia after vitrectomy were retrospectively analyzed. 37 cases (37 eyes) had no capsule more than 3 months after vitrectomy, and the clinical data of 37 cases (37 eyes) were treated with foldable intraocular lens (IOL) with scleral tunnel internal fixation after vitrectomy. Aphakia was performed in the second stage. Visual acuity, intraoperative and postoperative complications were observed before and after the operation. Results: 3 cases (8.1%) had transient hypotony in the main incision, 4 cases (10.8%) had a small amount of bleeding when the long needle and BD needle crossed the ciliary body into the posterior chamber. No complications such as hypotony, vitreous blood, retinal detachment, secondary glaucoma and corneal decompensation were found in all 37 cases after operation. ANOVA was used to compare the corrected visual acuity before operation. 1 day, 7 days and 1 month after operation, there was no significant difference in the last visual acuity, but the specific visual acuity value was observed. It was found that the postoperative visual acuity of some patients was better than that of pre-operation corrected visual acuity. The values of SIM K were compared before operation, 7 days after operation and 1 month after operation. There was no significant difference in the value of SIM K in the last follow-up, but the value of SIM K tended to be stable in the first month after operation. Conclusion: internal fixation of foldable intraocular lens through scleral tunnel is a safe and effective method for the treatment of aphakic eyes after vitrectomy.
【作者单位】：长治医学院附属和济医院;长治医学院附属和平医院;
【分类号】：R779.6

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