摘要
目的探讨玻璃体切除联合不同手术方式治疗晶状体脱位于玻璃体腔的临床疗效。方法眼外伤、白内障手术中并发症和马凡综合征及不明原因所造成的晶状体脱位于玻璃体腔的患者27例(29只眼),采用玻璃体切除联合不同的手术方式取出晶状体,包括标准睫状体扁平部三通道闭合式玻璃体切除联合晶状体切除术、玻璃体切除联合晶状体超声粉碎术、玻璃体切除联合应用全氟化碳液体角膜缘切口取出晶状体术等。结果29只眼脱位于玻璃体腔之晶状体均被成功地取出,视力均有不同程度的提高。8只眼矫正视力恢复至≥0.3,7只眼继发性青光眼,手术后除1只眼需局部用降眼压药外,眼压均得到控制;6只眼伴有视网膜脱离者,联合视网膜复位手术,使其复位成功;10只眼同期行人工晶状体睫状沟缝线固定。29只眼无1例发生严重并发症。结论脱位于玻璃体腔之晶状体如果长期存留将会产生多种较为严重的并发症,因此,在高眼压和炎症反应得到基本控制的前提下,根据不同情况,应用玻璃切除手术联合不同的手术方式,尽早及时地取出脱位于玻璃体腔之晶状体,对视功能的恢复和减少并发症的发生有着重要的临床治疗价值。
Objective To evaluate the effciency of the treatment in vitreoretinal surgery combined with different operating method for dislacation of lens in vitreous. Methods During operation on 29 eyes with Marfan syndmm and traumatic and cataract surgical dislocation of lens and serious semiluxation , different operating method according to different cases were applied, such as leusectomy and vitrectomy, phacofragmentation , application of perfluorocarhon liquids. Results The dislocated lens and serious semiluxation on 29 eyes were all taken off smoothly. 7 eyes secondary glaucoma was cured except 1 eyes need eyedrops. Retinal detachment on 6 eyes was recovered . Intraocular lens was sutured in 10 eyes. Complications of dislocation of lens were treated successful. The visual acuity was improved in 29 eyes when the patients left hospital. 8 eyes visual acuity greater than or equal to 0.3. There was no iatrogenic retinal tear and other serious complication. Conclusion After intraocular pressure and inflamation reaction were controled effectively, according to different cases we selected different method to treat dislocation of lens and serious semiluxation in vitreous, it could improve patient, s visual acuity and decrease complications.
出处
《临床眼科杂志》
2007年第1期37-38,共2页
Journal of Clinical Ophthalmology
