无晶状体眼行IOL睫状沟缝线固定术的临床效果

目的：探讨无晶状体眼行人工晶状体(IOL)睫状沟缝线固定术的临床效果。

方法：回顾性分析2015-01/2018-06行IOL睫状沟缝线固定术患者38例38眼的临床资料，包括术中和术后并发症、眼压、IOL位置，并比较手术前后视力、屈光状态。

结果：术中出血6眼(16%)，术后低眼压4眼(11%)，高眼压11眼(29%)，经治疗后恢复，IOL倾斜4眼(11%)。术后末次随访时视力较术前提高(P<0.05)。术前预留屈光度数(球镜)与术后3mo实际屈光度数(球镜)无差异(P>0.05)。

结论：IOL睫状沟缝线固定术是治疗无晶状体眼安全有效的方法，但应重视相关并发症。

Clinical observation of ciliary sulcus fixation of posterior chamber intraocular lens in aphakic eyes

AIM: To explore the clinical efficacy of ciliary sulcus fixation of posterior chamber intraocular lens(IOL)in aphakic eyes with inadequate capsule support.

METHODS: A retrospective review of medical records of 38 eyes of 38 patients who were underwent ciliary sulcus fixation of posterior chamber IOL from 2015 to 2018 were analyzed for the intraoperative and postoperative complications, intraocular pressure and position of intraocular lens. Also, the preoperative and postoperative visual acuity and refractive status were compared respectively. The follow-up time was 3mo after surgery.

RESULTS:The intraoperative hyphema occurred in 6 eyes(16%)postoperative hypotony in 4 eyes(11%)transient high intraocular pressure in 11 eyes(29%), yet all were cured by treatment. Four eyes(11%)with obvious tilt of intraocular lens were observed. All the cases were an visual improvement according to the last postoperative follow-up(P<0.05). No obvious difference between target refraction(spherical lens)and actual refraction(spherical lens)at postoperative 3mo was discovered(P>0.05).

CONCLUSION: The ciliary sulcus fixation of posterior chamber IOL is a safe and effective way to treat the aphakic eyes, but the possible complications should be attentional.