摘要
目的探讨玻璃体切割联合小切口折叠式人工晶状体缝襻固定术治疗外伤性晶状体后脱位的有效性及安全性。方法对9例（9只眼）外伤性晶状体后脱位行玻璃体切割和晶状体切割或晶状体超声粉碎取出术，同时行I期小切口折叠式人工晶状体缝襻固定术，其中2例联合小梁切除与丝裂霉素应用。术后随访3～42月（平均12个月）。结果9例均顺利完成手术，术中无一例发生视网膜损伤，随访期间眼压均正常、无视网膜脱离等严重并发症。随访结束时裸眼视力0．2～0．4者5只眼；0．5者3只眼；1．0者1只眼；矫正视力均达到或接近术前最佳矫正视力。结论玻璃体切割联合I期小切口折叠式人工晶状体缝襻固定术是治疗外伤性晶状体后脱位安全有效的较为理想的方法。
Objective To evaluate the efficacy and satety ot the method to utilize vltrectomy combined with transscleral suture fixation of posterior chamber foldable intraocular lens （IOL） through small incision for treating the traumatic lens dislocation in vitreous cavity. Methods Vitrectomy and lensectomy or phacofragrnentation combined with transscleral suture fixation of foldable IOL through small incision for treating the traumatic lens dislocation in vitreous cavity was performed on 9 eyes, among which filtering operation and mitomycin C were performed on 2 eyes. The patients were followed for 3~42 months （mean 12 months）. Results The operation was successfully completed in all eyes. No eye＇s retina was injured during operation. All eyes＇ lOP was normal during follow-up. There were no serious complications occurred such as retinal detachment. When the follow-up was finished, the postoperative naked visual acuity of 5 eyes was 0.2-0.4, 3 eyes were 0.5, and 1 eye was 1.0. Postoperative corrected visual acuity of all eyes achieved to or obtained close to the preoperative best corrected visual acuity. Conclusions Vitrectomy combined with transscleral suture fixation of posterior chamber foldable intraocular lens （IOL） through small incision is a safe and effective method to treat the traumatic lens dislocation in vitreous cavity.
出处
《中国实用眼科杂志》
CSCD
北大核心
2011年第6期608-610,共3页
Chinese Journal of Practical Ophthalmology
