三联手术治疗晶体磁性异物

THE TREATMENT OF LENTICULAR MAGNETIC FOREIGN BODY USING TRI-COMBINED OPERATION

本文报告14例晶体磁性异物,全部采用异物磁吸联合现代白内障囊外摘除及后房型人工晶体植入术,其中3例因后囊破损而行睫状沟缝线固定。本手术的开展能I期有效地解决因晶体异物而致单眼致盲的问题,同时恢复伤者的双眼视功能,是目前治疗晶体异物地良好方法。文中对手术方法、时机、并发症及其处理措施进行了讨论。

Forteen patients with lenticular magnetic foreign bodies are reported. All received magnetoperation extraction of foreign bodies combined with extracapsular cataract extraction and primary posterior chamber IOL implantation. Of them, 3 patients underwent a suture fixation of haptic in ciliary sulcus during operation due to tear of posterior capsule of lens. The operation we performed can effectively resolve the problems of the wounders' monocular blindness caused by lenticular foreignbodies and recover their binocular vision simultanously. The results indicate that this method is good for lenticular foreign bodies. The operative method, opportunity, complication and its management are also discussed.