摘要
目的评价超声乳化白内障摘除术中后囊破裂的Ⅰ期后房型人工晶体植入术的疗效。方法对184例(200只眼)施行超声乳化白内障摘除术中后囊破裂者29例(29只眼)行Ⅰ期后房型人工晶体植入术。结果10例囊袋内植入,19例睫状沟植入。术后3个月随访,裸眼视力1.0以上者17例(58.62%),0.5~0.9者10例(34.48%);矫正视力1.0以上者22例(75.86%),0.5~0.9者5例(17.24%)。本组并发症主要为角膜水肿,瞳孔缘虹膜咬伤,前段玻璃体炎症等。结论对于后囊破裂及玻璃体脱出的患者,适当利用残留的前、后囊作为支撑,清除前段玻璃体,仍可植入后房型人工晶体。
Objective To evaluate the effect of primary posterior chamber intraocular lens(IOL) implantatinn of posterior capsular rupture (PCR) with cataract extracted by phacoemulsification. Method Primary posterior chain ber IOL implantation was performed on 29 cases (29 eyes)with PCR occurring in 184 cases (200 eyes) during cataract extraction by phacoemulsification. Results In-the-bag implantation was performed on 10 cases, and sulcus-fixed lens implantation on 19 and 0. 5- 0. 9 in 5 cases (17. 24% ) after 3 months of operation The corn plications included corneat edema and damage of pupillary margin in the operation, and anterior vitreous inflammatory reaction after the operation. Conetusion The posterior chain ber IOL can be primarily implanted in cases with PCR and functional anterior or posterior capsular support after the anterior segment vitreous was cleaned.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1998年第2期93-95,共3页
Chinese Journal of Ophthalmology