人工晶体植入术后复视

目的:本文报道7例人工晶体植入术后复视病例,并初步探讨其原因及预防。方法:随访60例单侧白内障摘除及人工晶体植入术连续病例。复视病例,检查复视类型、眼位、眼球活动度、屈光状态、瞳孔及眼底,并散瞳检查人工晶体位置。结果:本文报告白内障摘除及人工晶体植入术后复视发生率为11.67％。术前存在斜视,双眼融合功能障碍,局麻药物对眼外肌的毒性作用,人工晶体中心偏移,黄斑部病变及晶体后囊不均匀混浊等与术后复视有关。结论:复视是白内障摘除及人工晶体植入术后一个重要的并发症。其治疗往往较困难,根据复视的可能原因,采取预防措施对减少术后复视有帮助。眼科学报1997;13:210—212。

Diplopia after Intraocular Lens Implantation

Purpose: Seven patients with diplopia after intraocular lens implantation were reported. Possible causes and prevention of diplopia were investigated preliminarily. Methods:Sixty successive cases, who had accepted uniocular cataract extraction and intraocular lens implantation, were followed - up. The kinds of diplopia, position of eyes, the movements of eyes,refrective state, pupil, fundus of eyes and the states of IOL were examined in all diplopia cases. Results :The incidence of diplopia in our cases was 11.67%. There was a close relationship between postoperative diplopia and preexistent strabismus, fusion disruption, myotoxic effects of local anesthetics, decentration of intraocular lens, macular disease and inidentical opacity of posterior capsule. Conclusion : Diplopia is a important complication after cataract extraction and intraocular lens implantation. Usually, it is difficult to deal with. It is helpful for decreasing diplopia to take corresponding methods according to possible causes. Eye Science 1997; 13:210-212.