小切口两点固定折叠人工晶状体悬吊术的临床观察

Clinical observation of small incision suture-fixation of foldable intraocular lens

目的:探讨小切口对无后囊膜无晶状体眼行两点固定折叠人工晶状体缝线悬吊术的临床疗效。方法:对11例11眼无后囊膜或后囊膜不足以支撑人工晶状体的患者用RAYNER(570C)折叠式人工晶状体,通过小切口两点固定行折叠人工晶状体悬吊术,观察患者术后视力、并发症情况。结果:术后1d裸眼视力>0.5者5眼(46%),0.3～0.5者4眼(36%),2眼(18%)为0.2。术后1,3,6mo视力均达到或好于术前最佳矫正视力。无明显并发症发生。结论:小切口两点固定折叠人工晶状体悬吊术是治疗无囊膜无晶状体眼的一种安全有效的方法。

AIM：To investigate the clinical effect of small incision suture-fixation of foldable intraocular lens for aphakia correction.METHODS：Eleven cases with non-posterior capsular or disintegrated-posterior capsular eyes were included in this study.RAYNER（570C） foldable intraocular lens was selected.Main outcome measures were visual acuity and complications.RESULTS：On the first day postoperatively,the uncorrected visual acuity of 5 eyes（46%）was better than 0.5.The uncorrected visual acuity of 4 eyes（36%）was between 0.5 and 0.3.The uncorrected visual acuity of 2 eyes（18%）was 0.2.The best-corrected visual acuity were the same as or better than the preoperative at the 1-month,3-month and 6-month follow-up respectively.No complication was found in all cases.CONCLUSION：Small incision suture-fixation of foldable intraocular lens is a safe and effective way for non-posterior capsular aphakia eyes.