基层医院开展人工晶状体睫状体沟缝线固定术的临床疗效观察

Clinical effect of ciliary groove suture of posterior chamber intraocular lens in primary level hospital

目的:评价人工晶状体睫状体沟缝线固定术在基层医院的临床疗效。方法:选取我院2001-01/2011-01采用后房型IOL睫状体沟缝线固定术68例68眼,其中"单襻固定法"7例7眼,"双襻固定法"61例61眼。结果:随访3～36(平均12)mo。复查矫正视力0.2～1.2,视力≥0.3者61眼(90%),视力偏低者多为角膜瘢痕或眼底病变所致,所有眼压均在正常范围内。结论:IOL睫状体沟缝线固定手术是一种矫正无后囊支持的无晶状体眼的有效、安全术式,远期效果需要进一步观察。

AIM：To assess the clinical effect of ciliary groove suture of posterior chamber intraocular lens（IOL） in primary level hospital.METHODS：From January 2001 to January 2011,68 cases（68 eyes）underwent ciliary groove suture with posterior chamber IOL,all acquired satisfying result.One edge of the lens was sutured to the ciliary groove in 7 cases（7 eyes）,which was called ＂single-haptic fixation＂.The other 61 cases（61 eyes） were sutured the lens to ciliary groove in two sites,which was called ＂double-haptic fixation.＂ RESULTS：Followed-up for 3-36（average 12） months,the best-corrected visual acuity（BCVA）was from 0.2 to 1.2 and 61 eyes（90%） were more than 0.3.The corneal scar and fundus oculi diseases resulted in poor vision.The intraocular pressure（IOP） in all eyes was normal.CONCLUSION：IOL suturing to the ciliary groove is an effective and safe method for correction of aphakia in eyes with inadequate posterior capsular support,the further observation is needed for long-term outcome.