改良透明角膜微创小切口折叠人工晶体悬吊术在临床中的应用

Clinical application of improved transparent corneal small incision minimally invasive foldable intraocular lens suspension surgery

目的:探索改进的透明角膜微创小切口折叠人工晶状体悬吊术的有效性和实用性。方法:选择因晶状体后囊破裂或悬韧带断裂不能正常植入后房型人工晶状体的患者29例(29只眼),通过3.0mm的透明角膜小切口,利用推注器系统,将襻预扎了聚丙烯缝线的折叠人工晶状体缝合固定于睫状沟。结果:所有患者术后裸眼视力均提高,术中、术后没有出现严重并发症结论:透明角膜微创小切口折叠人工晶状体悬吊术手术并发症少,手术难度小,适应症广,具有临床推广价值。

Objective： To explore the effectiveness and feasibility of the improved transparent cornea minimally invasive small incision foldable intraocular lens suspension surgery. Methods： 43 patients （43 eyes） with zonule abnormity or posterior capsule rupture were performed intraocular lens implantation through corneal incision, and pre-fixed with poly propylene suture followed by foldable intraocular fixed in sulcus by injector. Results ： The uncorrected visual acuity of all operated eyes were improved, there was no significant severely serious complications intra- and post-operation. Conclusion： It demonstrated that the transparent cornea minimally invasive small incision foldable intraocular lens suspension surgery had less complications, small operative difficulty, broad indications, which proved the potential to be widely applied.