白内障后囊破裂人工晶状体睫状沟固定与植入前房疗效比较

目的:比较睫状沟缝线固定人工晶状体术和前房人工晶状体植入术治疗白内障后囊破裂的疗效。方法:回顾性分析采用睫状沟缝线固定人工晶状体术、前房人工晶状体植入术治疗白内障后囊破裂45例45眼,比较两组手术的疗效。结果:睫状沟缝线固定人工晶状体术组和前房人工晶状体植入术组均能有效治疗白内障后囊破裂。但后者术后有2例6mo后出现虹膜睫状体炎及眼压升高,其余视力均改善。前者视力均改善,未见有明显的并发症。结论:睫状沟缝线固定人工晶状体术和前房人工晶状体植入术均能有效治疗白内障后囊破裂,改善视力,但前者更接近于生理位置,术后并发症更少。

Ciliary sulcus sutured intraocular lens and anterior chamber intraocular lens implan-tation for cataract surgery type of posterior capsule rupture

·AIM:To compare the effect of ciliary sulcus sutured intraocular lens surgery and anterior chamber intraocular lens implantation for posterior capsule rupture of cataract.·METHODS:The retrospective analysis involved the ciliary sulcus sutured intraocular lens surgery,anterior chamber intraocular lens implantation for cataract posterior capsule rupture of 45 cases of 45 eyes.The efficacy of surgery was compared with the two groups.·RESULTS:Ciliary sulcus sutured intraocular lens surgery group and the anterior chamber intraocular lens implantation group can effectively cure capsular rupture after cataract treatment.But the latter had two cases of postoperative iridocyclitis and the elevation of intraocular pressure after six months and visual acuity improvement of the rest.The former had all visual acuity improved,and no obvious complications.·CONCLUSION:Ciliary sulcus sutured intraocular lens surgery and anterior chamber intraocular lens implan-tation in cataract surgery can be effective in the treatment of posterior capsule rupture and improve eyesight,but the former is closer to physical location with fewer postoperative complications.·