后房型人工晶状体屈光组业务学习.pptVIP

后房型人工晶状体 谢晓兰 2012.8 人工晶状体的进展 第一代 1949-1954 原始的Ridley后房型人工晶状体 第二代 1952-1962 早期前房型人工晶状体 第三代 1953-1973 白内障囊内摘除术后使用过的包括 虹膜囊膜的虹膜支撑型人工晶状体 第四代 1963-1992 从早期前房人工晶状体过渡到新 型前房型人工晶状体 第五代 1977-1992 后房型人工晶状体的过渡和成熟 阶段 第六代 1992-2000 新型人工晶状体 但是,作为理想的人工晶状体应该具备哪些特征呢? 光学性能高 质量轻 生物相容性好 性能稳定,无生物降解作用 无刺激,无致癌性 (一) 聚甲基丙烯酸酯 PMMA (二) 硅胶 Silicone (三) 水凝胶 Hydrogel (四)丙烯酸酯 Acrylic 是PMMA 的衍生物,是苯乙基丙烯酸酯和苯乙基烯酸甲酯大的聚合物。目前是临床上最常用、引起后发障最少的可折叠人工晶状体材料。 But ,how about the implantation of posterior chamber phakic intraocular lens with a central hole → (Hole ICL) ? To prevent pupillary block, this surgical technique unavoidably requires two preoperative laser iridectomies, which are frequently accompanied by some pain; OR intraoperative peripheral iridectomy, which is sometimes complicated by iris haemorrhage, causing surgical difficulties. EVEN Implantation of a newly developed Hole ICL offered good results for all measures of safety,efficacy, predictability and stability for the correction of moderate to high myopic errors, even without peripheral iridectomy, suggesting its viability as a surgical option for the treatment of such eyes. the RISK of cataract formation,presumably resulting from direct physical contact between the ICL and the crystalline lens or from localised malnutrition causing poor circulation of the aqueous humour. A new ICL with an artificial central hole (Hole ICL) in order to overcome these disadvantages is coming up D evaluated 20 eyes of 20 patients with spherical equivalents of
7.3662.13 D (mean6SD) who underwent Hole ICL implantation. Before surgery and at 1 week and 1, 3 and 6 months after surgery, Safety outcomes Effectiveness outcomes Predictability Stability IOP Endothelial cell density Secondary surgeries/adverse events Hole ICL implantation is safe and effective, and provides predictable and stable refractive resu