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针拨术后小切口白内障摘除人工晶状体睫状沟悬吊术
引用本文:张志辉.针拨术后小切口白内障摘除人工晶状体睫状沟悬吊术[J].国际眼科杂志,2009,9(3):558-559.
作者姓名:张志辉
作者单位:中国广东省河源市人民医院眼科,517000
摘    要:目的:探讨在针拨白内障术后应用小切口白内障摘除联合人工晶状体睫状沟悬吊固定手术的有效性和安全性。方法:对20例(21眼)针拨白内障术后患者进行白内障取出人工晶状体睫状沟悬吊固定术。随访3~12mo,观察术后视力、眼压、术中术后并发症及术后人工晶状体的位置。结果:术后第1d裸眼视力:0.4~0.5者7眼,0.6~0.8者14眼。术后7d进行显然验光,平均为(-0.87±0.43)D,与手术前设计保留(-0.50~-1.00)D接近。术后3mo平均度数为(-0.68±0.33)D。手术后7d眼压平均为17.11±3.13mmHg,术后3mo平均眼压为14.17±2.03mmHg。手术中入、出针时,发生少量出血2眼;术后角膜切口周围轻度水肿5眼,3~5d基本消退。结膜下出血4例,5~7d后自行吸收。随访观察3~12mo,21眼手术后人工晶状体位置均保持良好的居中性。未发现角膜内皮功能失代偿、青光眼、视网膜脱离等情况。结论:针拨白内障术后应用小切口白内障摘除联合人工晶状体睫状沟悬吊固定手术是安全、有效的。

关 键 词:针拨白内障  小切口  白内障摘除  人工晶状体悬吊术

Small incision cataract extraction and ciliary sulcus suture of PC IOL after couching surgery
Zhi-Hui Zhang.Small incision cataract extraction and ciliary sulcus suture of PC IOL after couching surgery[J].International Journal of Ophthalmology,2009,9(3):558-559.
Authors:Zhi-Hui Zhang
Institution:Zhi-Hui Zhang Department of Ophthalmology,the People's Hospital,Heyuan 517000,Guangdong Province,China
Abstract:AIM:To investigate the effectiveness and safety of small incision cataract extraction and ciliary sulcus suture of PC IOL after couching surgery.METHODS:Small incision cataract extraction and ciliary sulcus suture of PC IOL was performed in 20 cases(21 eyes)after couching cataract surgery.The follow up period was from 3 to 12 months.Postoperative visual acuity,IOP,intra-and post-operative complications and the location of intraocular lens were observed..RESULTS:On day 1 after operation,the visual acuity of ...
Keywords:couching cataract surgery  small incision  cataract extraction  ciliary sulcus suture of PC intrao-cular lens  
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