| 玻璃体切割联合ARTISAN虹膜夹人工晶体植入治疗外伤性晶状体脱位 |
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| 引用本文： | 刘蓓,王丽丽,朱忠桥,杜善双. 玻璃体切割联合ARTISAN虹膜夹人工晶体植入治疗外伤性晶状体脱位[J]. 山东大学耳鼻喉眼学报, 2011, 25(4): 87-89 |
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| 作者姓名： | 刘蓓 王丽丽 朱忠桥 杜善双 |
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| 作者单位： | 1.西安市第四医院眼科， 西安 710004； 2.西安市中心医院眼科， 西安 710003 |
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| 摘 要： | 目的 探讨玻璃体切割联合ARTISAN虹膜夹人工晶体植入治疗外伤性晶状体脱位的临床疗效。方法 选择2008年1月至2010年10月就诊的外伤性晶状体脱位患者7例7眼，采用玻璃体切割联合ARTISAN虹膜夹人工晶体植入治疗。随访1个月,分析手术适应证、并发症及术后疗效。结果 术后1个月裸眼视力与术前最佳矫正视力、术后1个月最佳矫正视力与术前最佳矫正视力及术前与术后1d、1周角膜内皮计数比较无统计学差异, 术前及术后1个月角膜内皮计数比较有统计学差异。术后前房出血1例，角膜内皮水肿2例，眼压一过性升高1例，均自行转归或药物治愈。结论 符合纳入条件的外伤性晶状体脱位患者一期行玻璃体切割联合ARTISAN虹膜夹人工晶体植入手术是可行的，该方法治疗外伤性晶体脱位是一种安全有效的手术方式。
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| 关 键 词： | 玻璃体切割术；虹膜夹人工晶体；晶状体脱位；联合手术 |
| 收稿时间： | 2011-05-24 |
Clinical curative effect of vitrectomy combined with implantation of Artisan iris-fixated intraocular lens in traumatic dislocation of the lens |
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| LIU Bei,WANG Li-li,ZHU Zhong-qiao,DU Shan-shuang. Clinical curative effect of vitrectomy combined with implantation of Artisan iris-fixated intraocular lens in traumatic dislocation of the lens[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2011, 25(4): 87-89 |
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| Authors: | LIU Bei WANG Li-li ZHU Zhong-qiao DU Shan-shuang |
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| Affiliation: | 1. Department of Ophthalmology， Xi′an Fourth Hospital, Xi′an 710004, China；2. Department of Ophthalmology， Xi′an Central Hospital, Xi′an 710003, China |
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| Abstract: | Objective To observe the clinical curative effect of vitrectomy combined with implantation of Artisan iris-fixated intraocular lens in traumatic dislocation of the lens. Methods From January 2008 to October 2010, 7 patients(7 eyes) with traumatic dislocation of the lens underwent vitrectomy combined with implantation of Artisan iris fixated intraocular lens. In 1 month of follow up, surgical indications， related complications and clinical curative effect were summarized. Results The difference between postoperative natural visual acuity in 1 month of the follow up and preoperative best corrected vision was not significant. The difference between postoperative best corrected vision acuity in 1 month of the follow up and the preoperative best corrected vision acuity was not significant. The difference of corneal endothelium cell density between preoperative count and postoperative count in 1 day and 1 week of the follow up was not significant. The difference of corneal endothelium cell density between preoperative count and postoperative count in 1 month of the follow up was significant. In the follow up, postoperative hyphema happened in 1 case, postoperative edema of corneal endothelium happened in 2 cases and postoperative intraocular pressure increased in 1 case. All became self healing or were cured by medicine. Conclusions Vitrectomy combined with implantation of Artisan iris-fixated intraocular lens is feasible for traumatic dislocation of the lens corresponding with internalized conditions, and is a safe and effective method for traumatic dislocation of the lens. |
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| Keywords: | Vitrectomy； Iris-fixated intraocular lens； Dislocation of the lens； Combined surgery |
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