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反眉形自封闭白内障摘除人工晶状体植入术45例 被引量:2

Intraocular lens implantation combined with counter eyebrow form and self-closure cataract excision
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摘要 目的:评价反眉形自封闭白内障摘出联合人工晶状体植入术的效果.方法:近成熟期至过熟期老年性白内障患者45例行巩膜隧道切口,外切口距角膜缘1~3mm,弦长6~7mm,内切口达角膜缘内2~3mm的透明角膜处,环形撕囊或信封式截囊,水分离,隧道刀扩大内切口至8~10mm,水加压法使核娩出,植入光学部分为5.5~6.0mm的PMMA人工晶状体,切口不缝合或缝合1针.结果:术后1wk内裸眼视力>0.5者44例占88%.反眉形自封闭白内障摘出联合人工晶状体植入无虹膜脱出,术后未发生切口渗漏或浅前房.结论:本手术有利于预防并发症,手术费用低. AIM: To evaluate the effect of counter eyebrow form and self-closure cataract excision combined with intraocular lens implantation. METHODS: Sclera tunnel incision was operated on 45 age-related cataract cases (nearly mature or hypermature stage), with a distance of 1-3rnrn between the external incision and the lirnbus. The string of the incision was 6mm-7mm long. The internal incision reached the position of the transparent cornea, 2-3 rnrn within the lirnbus. The aqueous humor was separated from the ring-form or the envelop-form sac. The internal incision was enlarged to 8-10 rnrn by the tunnel blade and the core was discharged with the method of water raising pressure. The implantation part was PAMA artificial Intraocular Lens 5.5-6.0 rnrn long without suture or with only one suture. RESULTS: Naked eyesight of 44 cases exceeded 0.5,which occupied 88% of the total number. There was no iris discharge during the operation and incision leak or shallow anterior chamber after the operation. CONCLUSION: The operation can prevent the complications and the cost of it is low, which is fit for China conditions.
作者 赵琳 赵俊宏
出处 《国际眼科杂志》 CAS 2005年第4期780-781,共2页 International Eye Science
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