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[1]高春兰,刘 佳,邹晓燕,等.四点固定后房型人工晶体悬吊植入术在白内障手术中的治疗观察[J].宁夏医科大学学报,2019,(12):1268-1271.[doi:10.16050/j.cnki.issn1674-6309.2019.12.019]
 GAO Chunlan,LIU Jia,ZOU Xiaoyan,et al.Therapeutic Observation of Four-point Fixed Posterior Chamber Intraocular Lens Suspension Implantation in Cataract Surgery[J].Ningxia Medical University,2019,(12):1268-1271.[doi:10.16050/j.cnki.issn1674-6309.2019.12.019]
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四点固定后房型人工晶体悬吊植入术在白内障手术中的治疗观察(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2019年12期
页码:
1268-1271
栏目:
经验交流
出版日期:
2020-03-27

文章信息/Info

Title:
Therapeutic Observation of Four-point Fixed Posterior Chamber Intraocular Lens Suspension Implantation in Cataract Surgery
文章编号:
1674-6309(2019)12-1268-04
作者:
高春兰 刘 佳 邹晓燕 张 鑫 王伟邦
(宁夏银川市第一人民医院,银川 750001)
Author(s):
GAO Chunlan LIU Jia ZOU Xiaoyan ZHANG Xin WANG Weibang
( The First People's Hospital of Yinchuan City,Yinchuan 750001,China)
关键词:
白内障四点固定人工晶体悬吊术
Keywords:
cataractfour-point fixedintraocular lens suspension
分类号:
R779.66
DOI:
10.16050/j.cnki.issn1674-6309.2019.12.019
文献标志码:
B
摘要:
目的 探讨在白内障手术中采用四点固定法后房型人工晶体睫状沟悬吊术的临床有效性和安全性。方法 以18例(18眼)无法实施传统后房型人工晶体植入的患者为临床研究对象,采取人工晶体悬吊术,做2、8点位“L”形巩膜瓣,四点法固定人工晶体于睫状沟,术后随访3个月观察术后并发症及视力、验光、眼压等情况。结果 18例(18眼)患者手术过程顺利,术后出现黄斑囊样水肿1例、前房积血3例、前房炎性渗出3例、脉络膜脱离2例、一过性眼压升高者6例,经治疗均好转或消退,无明显人工晶体偏位、缝线外露、角膜失代偿等情况。患者术后矫正视力0.1者1例,0.2~0.5者3例,0,6~0.8者10例,1.0者4例,视力均有不同程度提升;角膜散光度平均为(0.89±0.46)D。结论 采用四点固定法的后房型人工晶体悬吊术手术效果确切,术后恢复时间缩短,提高了患者术后视觉质量,故值得临床推广应用。
Abstract:
Objective To investigate the clinical efficacy and safety of four-point fixation for posterior chamber intraocular lens ciliary sulcus suspension in cataract surgery. Methods Totally 18 patients (18 eyes) who could not be implanted with the traditional posterior chamber intraocular lens were taken as the clinical research objects. The intraocular lens were suspended and the L-shaped scleral flap was made at 2 or 8 points. The intraocular lens were fixed at the ciliary sulcus by four points. The postoperative complications and visual acuity, optometry, intraocular pressure were observed after 3 months of follow-up. Results Patients of 18 cases (18 eyes) were operated successfully. There were 1 case of cystoid macular edema,3 cases of hyphema,3 cases of inflammatory exudation of anterior chamber,2 cases of choroidal detachment,6 cases of transient intraocular pressure rise. After treatment, they all improved or subsided without obvious intraocular lens deviation, suture exposure, angular membrane decompensation, etc. The postoperative corrected visual acuity was 0.1 in 1 case, 0.2 to 0.5 in 3 cases,0,6 to 0.8 in 10 cases,1.0 in 4 cases, and the average corneal astigmatism was(0.89±0.46) D. Conclusion The posterior chamber intraocular lens suspension with four-point fixation is effective,the postoperative recovery time is shortened,and the visual quality of the patients is improved,so it is worth popularizing and applying in clinic.

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备注/Memo

备注/Memo:
收稿日期:2019-04-25
作者简介:高春兰(1974-),女,宁夏人,副主任医师,硕士,从事眼科临床、科研及教学工作。
更新日期/Last Update: 2019-12-30