玻璃体切割术治疗Maifan综合征晶状体脱位

目的探讨玻璃体切割治疗Marfan综合征的疗效.方法对8例Marfan综合征患者中接受玻璃体切割治疗脱位晶状体并植入人工晶状体的10只眼的资料进行了回顾性总结.结果10只眼脱位晶状体均成功取出并植入了人工晶状体.随访3～18月,9只眼的视力＞0.1,其中2只眼的视力为0.5.术后并发症有人工晶状体移位3只眼,前房积血2只眼,轻度玻璃体积血1只眼,反应性葡萄膜炎1只眼.结论玻璃体切割术可用于对Marfan综合征晶状体脱位的治疗,患眼术后视力可以得到一定程度改善.

Vitrectomy in the management of dislocated lens induced by Marfan syndrome

OBJECTIVE To study the way to manage Marfan syndrome with lens dislocated into vitreous cavity METHODS Vitrectomy and implantation of intraocular lens were performed in eight patients(10eyes) with Marfan syndrome result in dislocation of lens into vitreous cavity Data of the patients were summarized retrospectively RESULTS The dislocated lenses were removed successfully and intraocular lenses were implanted in 10 eyes At period of follow-up from 3 months to 18 months visual acuity was 0 1 or better in the 9 eyes, and was 0 5 in two eyes of them The complications occurred including replacement of intraocular lens in 3 eyes, and hemorrhage of anterior chamber in two eyes,and mild vitreous hemorrhage in 1 eye, and temporary uveitis in 1 eye CONCLUSION Vitrectomy could be one of methods for treatment of lens dislocated into vitreous cavity with Marfan syndrome The visual acuity of patient treated could improve significantly