玻璃体切割术后Ⅱ期植入悬吊型带虹膜人工晶状体治疗外伤性虹膜缺损伴无晶状体眼的疗效观察

发布时间：2018-06-29 10:44

本文选题：眼外伤 + 无晶状体眼　；参考：《眼科新进展》2014年09期

【摘要】：目的观察外伤性虹膜缺损伴无晶状体眼玻璃体切割术后Ⅱ期植入悬吊型带虹膜人工晶状体的临床疗效。方法选择2005年9月至2013年6月我院收治的已行玻璃体切割术的外伤性虹膜缺损伴无晶状体眼42例42眼,对其施行Ⅱ期悬吊型带虹膜人工晶状体植入术,随访观察患者术后主观感觉、视力改变、眼压及并发症等情况。结果术后全部患者畏光流泪、目眩等不适症状明显改善;42眼术后裸眼视力较术前均有不同程度的提高,术后6个月时患者裸眼视力≥0.6共2例,≥0.2~0.6共18例,0.2共22例;术后早期18例患者出现一过性的眼压增高,在药物控制下均得到控制;所有患者均未出现角膜失代偿表现;2眼在术后1个月时出现人工晶状体光学区轻度移位,但未有明显主观不适。结论对于外伤性虹膜缺损伴无晶状体的患眼行玻璃体切割术后,Ⅱ期手术植入悬吊型带虹膜人工晶状体具有安全且稳定的疗效。
[Abstract]:Objective To observe the clinical effect of secondary implantation of suspension type iris intraocular lens (IOL) after traumatic iris defect with vitreous vitrectomy. Methods 42 cases of traumatic iris defect with ashakical eyes (42 eyes) treated in our hospital from September 2005 to June 2013 were selected. Intraocular lens implantation, follow-up observation of postoperative subjective sensation, vision change, intraocular pressure and complications. Results all patients with photophobia, glare and other uncomfortable symptoms improved obviously after operation; the visual acuity of the naked eyes of the 42 eyes was improved in different degrees, 2 cases of the naked eye more than 0.6 at 6 months after the operation, and more than 0.2~0.6 18. In a total of 22 cases, 18 patients had increased intraocular pressure in the early postoperative period and were controlled under drug control; all patients had no corneal decompensation performance; 2 eyes had a mild dislocation of the intraocular lens area at 1 months after the operation, but no obvious subjective discomfort was found. Conclusion for traumatic iris defect with AHA After the vitrectomy, the second stage operation is safe and stable.
【作者单位】：浙江省人民医院眼科;
【分类号】：R779.6

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