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| 折叠人工晶状体缝线固定治疗玻璃体切割术后无晶状体眼 | |
| 引用本文： | 李灿,邓江稳,陈少军,王一. 折叠人工晶状体缝线固定治疗玻璃体切割术后无晶状体眼[J]. 眼科新进展, 2011, 31(4): 361-363 |
| 作者姓名： | 李灿 邓江稳 陈少军 王一 |
| 作者单位： | 1. 第三军医大学两南医院两南眼科医院,重庆市,400038 2. 解放军第535医院眼科,湖南省怀化市,418008 |
| 摘 要： | 目的探讨采用四袢折叠人工晶状体缝线固定治疗玻璃体切割术后无晶状体眼的手术方法及疗效。方法 21例患者玻璃体切割术后无晶状体眼在前房灌注下通过角膜缘隧道小切口行四袢折叠人工晶状体缝线固定术,人工晶状体固定缝线无需做巩膜瓣而行改良埋线法,术后观察视力变化、散光、内皮细胞数、人工晶状体位置及并发症。结果 21例患者术后裸眼视力明显提高。术后早期视力大多低于术前最佳矫正视力,术后1个月视力稳定;12眼裸眼视力高于术前最佳矫正视力1～2行(57.1%),9眼同术前最佳矫正视力或稍差。术后裸眼视力:0.1-0.3者3眼,0.3-0.5者10眼,大于0.5者8眼,术后最佳矫正视力:0.1-0.3者3眼,0.3-0.5者8眼,≥0.5者10眼;术后6个月散光、内皮细胞数与术前相比差异均无统计学意义(均为P>0.05)。无术中及术后低眼压等并发症。结论玻璃体切割术后无晶状体眼在前房灌注下行四袢折叠人工晶状体缝线固定术安全有效,是值得推广的二期人工晶状体植入术。 |
| 关 键 词： | 玻璃体切割术 折叠人工晶状体 缝线固定 |
Suture fixated folding intraocular lens for aphakia after vitrectomy |
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| LI Can,DENG Jiang-Wen,CHEN Shao-Jun,WANG Yi. Suture fixated folding intraocular lens for aphakia after vitrectomy[J]. Recent Advances in Ophthalmology, 2011, 31(4): 361-363 | |
| Authors: | LI Can DENG Jiang-Wen CHEN Shao-Jun WANG Yi |
| Affiliation: | LI Can,DENG Jiang-Wen,CHEN Shao-Jun,WANG Yi Department of Ophthalmology,Southwest Hospital,the Third Military Medical University(LI Can,WANG Yi),Chongqing 400038,China,Department of Ophthalmology,the 535th Military Hospital(DENG Jiang-Wen),Huaihua 418008,Hunan Province |
| Abstract: | Objective To investigate the method and curative effect of four loops folding intraocular lens with suture fixation for aphakia after vitrectomy. Methods About 21 patients with aphakia after vitrectomy were implanted with four loops folding intraocular lens with suture fixation at ciliary sulcus under anterior chamber maintainer by small tunnel incision of corneal limbus.All suture knots were buried without scleral flaps.Changes of visual acuity,astigmatism,endothelial cells,location of intraocular lens and... |
| Keywords: | vitrectomy folding intraocular lens suture fixation |
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