后房型人工晶体缝线固定与前房型人工晶体植入术临床比较.docVIP

后房型人工晶体缝线固定与前房型人工晶体植入术临床比较 　　【摘要】 目的 探讨后囊不能支撑的人工晶体植入术的较好手术方式。方法 通过对在本院行后房型人工晶体缝线固定术(65例)和前房型人工晶体植入术(54例)进行临床随访比较。结果 术后脱残率(矫正视力0.3)两组差异无显著性,缝线固定组人工晶体移位的发生率较高,两组差异有显著性,早期高眼压前房型组的发生率较高,两组有显著性差异,但1个月后高眼压发生率两组差异无显著性,角膜内皮水肿、葡萄膜炎、前房出血、瞳孔变形的发生率两组差异无显著性。结论 前房型人工晶体植入术,手术较简单,并发症少。 　　【关键词】人工晶体; 缝线固定; 前房型 　　 　　clinical compartion of Suture fixation of posterior chamber intraocular lens and anterior chamber intraocular lens implantation 　　 　　CHEN Song-hong,ZHENG Chao-biao.People’s Hospital of Jieyang City,Jieyuang,Guangdong 522000,China 　　 　　【Abstract】 Objective To investigate the posterior capsule can not be supported by better artificial lens implantation surgery.Methods In our hospital posterior chamber intraocular lens suture fixation(65 cases) and anterior chamber intraocular lens implantation(54 patients) compared the clinical follow-up.Results off residual rate(corrected visual acuity0.3) difference was not statistically significant,suture fixation of intraocular lens group a higher incidence of displacement,there were significant differences between the two groups,early high intraocular pressure group the incidence of anterior chamber high significant difference between the two groups,but a month after the incidence of high intraocular pressure was no significant difference between the two groups,corneal edema,uveitis,hyphema,the incidence of deformed pupil was no significant difference between two groups.Conclusion Anterior chamber intraocular lens implantation,surgery is relatively simple,with few complications. 　　【Key words】Intraocular lens; Suture fixation; Anterior chamber 　　 　　DOI:10.3760/cma.j.issn 1673-8799.2010.06.13 　　作者单位:522000广东省揭阳市人民医院 　　 　　白内障超声乳化、囊外摘除及人工晶体植入术是白内障患者的主要治疗手段,但一些外伤性白内障合并后囊破裂、晶体脱位,白内障术时后囊膜巨大破口合并玻璃体脱出,后囊膜不能???撑人工晶体的患者,可行人工晶体缝线固定或前房型人工晶体植入,但两种术式各有优缺点。我院自2000年1月到至2009年6月行人工晶体缝线固定术65例,前房型人工晶体植入术54例,经随访6个月~到7年,平均2.5年,现进行临床比较,报告如下。 　　1 资料与方法 　　1.1 一般资料 缝线固定组65例,男36例、女29例,年龄18至~80岁,平均43岁;均单眼发病,术前矫正视力光感至0.6;其中囊外白内障摘除术中后囊破裂26例,Ⅰ期植入19例,Ⅱ