虹膜夹持型人工晶体植入联合虹膜周切术治疗无晶体眼的临床观察.docVIP

精品论文 参考文献 虹膜夹持型人工晶体植入联合虹膜周切术治疗无晶体眼的临床观察 吴海星 陈银洪（通讯作者） 周金红 章沐曦 唐萍 吴田莉 　　（四川省遂宁市第一人民医院眼科 629000） 　　【摘要】 目的：探讨并总结虹膜夹持型人工晶体（iris clip intraocular lens IOL）植入联合虹膜周切术治疗无晶体眼的临床疗效。方法：对15例15眼无后囊或少后囊存在的无晶体眼进行虹膜夹持型人工晶体植入联合虹膜周切术。术后1天、1周、1月、3月随访，观察术前术后裸眼视力（visual acuity，VA）、最佳矫正视力（best corrected visual acuity，BCVA）、角膜透明性、眼压（intraocular pressure，IOP）、角膜内皮细胞计数（corneal endothelial cells，CECs）及术后并发症情况。结果：术后3月，术后VA较术前显著提高；术前、术后BCVA无显著变化；术后3月角膜均恢复透明（除一眼术前即已因外伤继发角膜瘢翳而混浊），术后3月IOP平稳正常，CECs较术前无或仅有少量减少，无一例出现人工晶状体移位、继发性青光眼、脉络膜脱离、出血、炎症渗出等并发症。结论：虹膜夹持型人工晶体植入联合虹膜周切术治疗无晶体眼，具有屈光矫正效果好、稳定性高、并发症少、操作相对简单、组织损伤小等优点，疗效理想，值得推广。 　　【关键词】虹膜夹持型人工晶体；无晶体眼 　　【中图分类号】R77 【文献标识码】A 【文章编号】2095-1752（2015）11-0033-02 　　 　　Iris clamping type artificial lens implantation united iris weeks clinical observation of treatment no crystal eyes Wu Haixing, Chen Yinhong, Zhou Jinhong, Zhang Muxi, Tang Ping, Wu Tianli. The First Peoples Hospital of Suining city, Sichuan Province, Suining 629000, China 　　【Abstract】Objective To evaluate the therapeutic effect and complications of artisan iris clip intraocular lens ( iols) implantation for various aphakia ; Methods Operated iris clip intraocular lens ( iols) implantion on 15 cases(15 eyes) aphakia with no or few posterior capsular ,the postoperative visual outcomes(VA and BCVA)、intraocular pressure(IOP)、corneal endothelial cells(CECs) and complications were analyzed in 3 months follow -up ; Results The postoperative visual acuity is significantly improved(preoperative 0.05plusmn;0.02，postoperative 0.43plusmn;0.15，t=4.58，Plt;0.05), while the BCVA had no significant changes(preoperative 0.43plusmn;0.15，postoperative 0.45plusmn;0.17，t=1.72，Pgt;0.05）, the postoperative IOP keep normal and stable（14.72plusmn;2.53）mmHg，there had no significant less in postoperative CECs (postoperative CECs was （1683.76plusmn;506.27）/mm2, preoperative CECs was （1850.97plusmn;532.42）/mm2), all corneals recoverd transparent except 1 who has corneal scar becaus