眼前段复合伤前房型人工晶体植入联合手术的临床观察

The Clinical observation of Anterior Chamber Intraocular Lens implantation for Complex Injuries of Ocular Anterior Segment

目的观察眼前段复合伤手术处理联合前房型人工晶体植入的疗效。方法追踪眼前段复合伤前房型人工晶体植入联合手术后35只眼,随访3～24个月,观察视力、眼压、角膜、前房角、虹膜、睫状体的变化以及人工晶体襻的位置。结果术后视力增进者30只眼(85.85%),视力0.3以上者28只眼(76.4%)。眼压正常者33只眼(94.4%),另2只眼眼压24～26mmHg,滴用噻吗心安眼液控制眼压;虹膜部分前粘连5只眼,35只眼襻脚均有少许色素沉着。襻脚固位于巩膜突上。结论伴有外伤性白内障的眼前段复合伤可联合施行前房型人工晶体植入术。

Objective To observe the therapeutic effects of anterior chamber intraoeular lens （AC-IOL） implantation to complex injuries of ocular anterior segment. Methods Follow up 35 eyes after complex injuries of ocular anterior segment AC-IOL implantation for 3 to 24 months, to observe the changes of vision, intraocular pressure, cornea, anterior chamber angle, iris, ciliary body and the position of the loops of AC-IDL. Results Visual acuity improved in 30 eyes （85.85%） postoperatively, 28 eyes improved and achieving ≥0.3. Normal intraocular pressure 33 eyes（94.4%） and the intraocular pressure of another two eyes is 21-26 mmHg （They may be controlled to intraocular pressure with Timolol eye drops）. Partial anterior Synechia 5 eyes and a little pigmentation at the loop＇s pillars in 35 eyes and the loop＇s pillars of all cases locate on the seleral spur. Conclusions AC-IOL can be implanted for complex injuries of ocular anterior segment and traumatic cataract.