人工晶状体囊袋内缝合固定术治疗晶状体半脱位的临床观察

发布时间：2018-03-25 15:38

本文选题：晶状体半脱位　切入点：人工晶状体　出处：《广东医学》2014年01期

【摘要】：目的评价人工晶状体单襻囊袋内缝合固定术治疗晶状体半脱位手术的方法、效果及可行性。方法对25例26眼晶状体半脱位患者术前或术中晶状体脱位范围不大于270°行超声乳化吸除术或小切口晶状体摘除,人工晶状体单襻囊袋内缝合固定术即一侧襻植入脱位最严重方位的对侧囊袋内,聚丙烯缝线捆绑另一侧襻的中部后穿过囊膜赤道部固定巩膜壁的方法植入脱位最严重方位的囊袋内。观察术后视力、最佳矫正视力、眼压等指标,处理手术并发症。结果手术均顺利完成,术后随访最佳矫正视力≥0.8者5眼,0.4~0.6者19眼,0.3者2眼,所有人工晶状体均处于正位,术中术后未出现严重并发症。结论晶状体半脱位手术中人工晶状体单襻囊袋内缝合固定术是安全有效的,在不植入囊袋张力环的情况下,它有效避免了人工晶状体的夹持和偏位,降低了手术成本。
[Abstract]:Objective to evaluate the method of intraocular lens single loop capsular suture fixation in the treatment of subluxation of lens. Methods Twenty five patients (26 eyes) with subluxation of lens were treated with phacoemulsification or small incision lens extraction. Intraocular lens single loop intracapsular suture fixation is a contralateral bag with one loop implanted in the most serious position of dislocation. The polypropylene suture strapped the middle of the other side of the loop through the equatorial part of the capsule to fix the scleral wall and implanted into the capsule bag in the most serious position of dislocation. The postoperative visual acuity, best corrected visual acuity, intraocular pressure were observed. Results the operation was completed successfully. The postoperative best corrected visual acuity (BCVA) was better than 0.8 in 5 eyes (0. 4%), 19 eyes (0. 3 eyes) with 0. 4 or 0. 6 eyes (0. 3 eyes), and all intraocular lenses were in positive position. Conclusion Intraocular lens single loop capsular suture fixation is safe and effective in the operation of subluxation of lens. It can effectively avoid intraocular lens clamping and deviation, and reduce the cost of surgery.
【作者单位】：武汉大学基础医学院;湖北医药学院附属襄阳医院眼科;
【分类号】：R779.66

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