摘要
目的针对白内障手术中后囊膜破裂提出一种实用的Ⅰ期人工晶状体植入术。方法使用常规无孔一体式硬性人工晶状体,用10-0带针尼龙线缝合固定晶状体上襻于睫状沟内,将下襻直接放入残留的囊袋或者可见囊膜口的睫状沟内。结果 8例后囊膜破裂患者均实施了人工晶状体植入联合上襻悬吊手术,术后均恢复了可用视力,随访3个月~6个月均未见晶状体明显移位和后坠。结论硬性晶状体单襻悬吊术Ⅰ期顺利植入人工晶状体,既能提高患者视力,又能避免二次手术带来的痛苦,不增加患者的费用,不需要特殊材料及手术器械,对于基层医院是一种可选的补充手术方式。
Objective Proposed a practical IOLs implantation in the first stage for posterior capsular rupture during cataract surgery. Methods Suture the upper haptic of one postures hard lOis without hole onto ciliary sulcus using 10-0 nylon line with needle.Then place the lower haptic into the remaining capsular bag or the ciliary sulcus with visible capsular. Results 8 patients accept IOLs implantation on joint upper haptic suspension surgery without obvious lens displacement or drop during followed up for 3～6 months.AU of them recovered useful eyesight. Conclusion Our surgical method can implantation IOLs successfully in the first stage and achieve expected eyesight improvement. Moreover, this method save patients from pain of secondary surgery without increasing extra cost, special materials or surgical instruments. This is an optional supplement operation for basic-level hospitals.
出处
《基层医学论坛》
2013年第10期1244-1245,共2页
The Medical Forum
关键词
白内障
后囊膜破裂
人工晶状体
悬吊
Cataract Posterior capsular rupture Intraocular lens Suspension
