带虹膜隔人工晶状体在严重眼外伤中的应用价值

The black-diaphragm IOL implantation in management of traumatic aniridia and aphakia

目的 探讨带虹膜隔人工晶状体在外伤性无虹膜无晶状体眼中的应用价值。方法 2 0 0 0年 4月～ 2 0 0 3年 4月应用Morcher公司生产的带虹膜隔人工晶状体治疗 13例严重外伤后无虹膜无晶状体眼 ,均行人工晶状体二期植入术。探讨带虹膜隔人工晶状体植入术的适应证、手术方法、并发症防治及效果。结果 所有病例畏光症状改善或消失 ,视力均有不同程度的提高。结论 带虹膜隔人工晶状体治疗严重外伤后无虹膜眼有重要的临床意义 ,不仅畏光症状改善或消失 ,而且重建了眼前段 ,挽救了濒于残疾的伤眼 ,获得了较好的视力。

Objective To explore the clinical results of the black-diaphragm IOL implantation in management of traumatic aniridia and aphakia.Methods The black-diaphragm IOLs produced by Morcher company (Germany) were applied in secondary IOL implantation in 13 cases of severe traumatic aniridia and aphakia during April 2000-2003,the indication,surgical methods,prevention of complications and results were discussed.Results Decrease or elimination in photophobia symptom and improvement on visual acuity were observed in all the cases after surgery.Conclusion The clinical value of black-diaphragm IOL implantation in management of traumatic aniridia and aphakia is significant,which can decrease or eliminate photophobia symptom,reconstruct the anterior segment,improve visual acuity and escape from disability to the injury eyes,the operation deserves popularization.