无缝线后房人工晶状体巩膜层间固定术的应用

目的 探讨无缝线后房人工晶状体 (IOL) 巩膜层间固定术的临床疗效.方法 选取2016年3月至2018年2月玉溪市人民医院收治的60例行人工晶状体植入患者作为研究对象, 随机分为研究组 (n=30) 与对照组 (n=30) , 对照组给予睫状沟缝合固定后房型人工晶体, 研究组给予无缝线后房人工晶状体巩膜层间固定术治疗, 并分析2组患者视力、人工晶状体稳定性以及不良反应发生情况.结果 研究组视力改善情况明显优于对照组 (P<0.05) ;研究组人工晶状体稳定性好于对照组 (P<0.05) ;研究组不良反应发生率为6.67%, 明显优于对照组的16.67% (P<0.05) .结论 无缝线后房人工晶状体巩膜层间固定术是无晶状体伴无充分囊膜支撑眼植入后房型IOL安全有效的治疗方法, 较之巩膜缝线固定后房型人工晶体术创伤小, 并发症少, 能够有效改善患者视力, 明显降低不良反应发生率, 有利于患者预后, 值得推广.

The Application of Sclera Fixing Surgery in Suture Less Posterior Chamber Intraocular Lens

Objective To evaluate the clinical efficacy of sclera fixing surgery in suture less posterior chamber intraocular lens (IOL) . Method From March 2016 to February 2018, 60 patients undergoing IOL implantation in the Yuxi People's Hospital were selected as the study objects. They were randomly divided into thd study group (n=30) and the control group (n=30) .The control group was given suture and fixation of ciliary sulcus in intraocular lens. The study group was treated with sclero fixing surgery in suture less posterior chamber intraocular lens, and we analyzed the visual acuity, intraocular lens stability, and occurrence of adverse reactions in both groups.Result The visual acuity of the study group was significantly better than that of the control group (P<0.05) . The stability of the intraocular lens was better in the study group than in the control group (P<0.05) . The incidence of adverse reactions in the study group was significantly higher than that of the control group (6.67%) (P<0.05) . Conclusions The sclera fixation surgery in suture less posterior chamber intraocular lens is a safe and effective treatment method for posterior chamber IOL without lens implantation with full capsular support, which has less trauma and fewer complications than sclera suture fixation of posterior chamber intraocular lens.It can effectively improve the vision of patients, significantly reduce the incidence of adverse reactions, and is beneficial to to patient's prevention, and it is worth for promoting.