伴虹膜粘连无晶体眼二期人工晶体植入.docVIP

伴虹膜粘连无晶体眼二期人工晶体植入[摘要] 目的:探讨伴虹膜粘连的无晶体眼二期人工晶体植入的手术技巧及疗效。方法：回顾分析35例（均为单眼）伴虹膜粘连的无晶体眼行二期后房型人工晶体植入术患者的临床资料。结果：术后随访3～12个月，矫正视力0.1～1.0。影响视力的主要因素为原发疾病所致眼底病变。术中、术后并发症主要有术中虹膜表面、后面出血，术后前房、瞳孔区渗出，角膜水肿，前房、玻璃体少量积血，一过性眼压升高。经3 d～2周治疗均恢复。结论：充分利用黏弹剂轻柔、细致地处理虹膜前后粘连，准确植入高质量的人工晶体，熟练的显微操作及人工晶体缝合技术，使伴虹膜粘连的无晶体眼二期人工晶体植入均能获得满意的疗效。 ［关键词］ 虹膜粘连； 无晶体眼； 人工晶体 ［中图分类号］ R776.3 ［文献标识码］ A ［文章编号］ 1671-7562（2011）01-0025-03 doi:10.3969/j.issn.1671-7562.2011.01.省略 Second-stage intraocular lens implantation of aphakia with synechia MA Hong-wei （Department of Ophthalmology, Xuzhou Hospital, School of Medicine, Southeast University, Xuzhou 221009, China） ［Abstract］ Objective: To evaluate surgical technique and postoperative effectiveness in second-stage intraocular lens implantation of aphakia with synechia. Methods: 35 cases of single-eye aphakia with synechia were performed with second-stage posterior chamber intraocular lens implantation followed up by retrospective analysis. Results: Postoperative follow-up was performed for 3 to 12 months, visual acuity was corrected to 0.1 to 1.0. Main factors of influence to the eyesight included fundus pathological change caused by primary disease. Iris bleeding occurred as an intraopertive complication, whereas postoperative complications were exudating in anterior chamber and pupil, corneal edema, a small amount of hematocele in anterior chamber and vitreous, and hypertonia oculi. All recovered after treated for 3 days to 2 weeks. Conclusion: Satisfactory curative effect of second-stage intraocular lens implantation of aphakia with synechia can be achieved by treating anterior and posterior adhesion of iris softly and particularly with full using of viscoelastics, implanting high-quality intraocular lens accurately and skillfully micromanipulating and suturing intraocular lens. ［Key words］ synechia； aphakia； intraocular lens 随着白内障、人工晶体植入技术的成熟和普及，许多原因引起的白内障都得到了及时有效的诊治。但一些复杂性眼外伤、年龄较小的先天性白内障、葡萄膜炎并发性白内障、青光眼白内障联合手术以及晶状体、玻璃体切割手术等，由于受当时病情或当地医疗水平的限制，