人工晶状体睫状沟缝线固定术临床观察

Clinical observation of ciliary sulcus fixation of intraocular lenses.

目的 探讨人工晶状体睫状沟缝线固定术的临床应用价值。方法 总结人工晶状体睫状沟缝线固定术 33例 35眼 ,其中眼外伤 2 5例 2 5眼。Ⅰ期植入人工晶状体 13例 15眼 ,Ⅱ期植入人工晶状体 2 0例 2 0眼。对手术方式、手术效果、合并症等进行了探讨。结果 所有病例术中无严重并发症发生。Ⅰ期术后视力提高达 80 % ,Ⅱ期达 5 5 %。术后 6例发生人工晶状体偏位 ,其中 2例手术矫正。结论 人工晶状体睫状沟缝线固定术为无晶状体囊支持的患眼提供了一个安全可靠的植入方法。

Objective To discuss the efficacy of transscleral ciliary sulcus fixation of intraocular lenses in clinic.Methods 33 cases (35 eyes) operated with the transscleral ciliary sulcus fixation of intraocular lenses were analyzed. Among which there were 25 traumatic cases (25 eyes).The intraocular lenses were implanted primarily in 13 cases (15 eyes),and secondarily in 20 cases (20 eyes).The operating methods,surgical results and complications were discussed.Results No serious intraoperative complications occurred in all cases.Best corrected visual acuity was improved by 80% in the primary group,55% in the secondary group.The intraocular lenses dislocated in 6 cases,2 cases need surgical reposition.Conclusion Ciliary sulcus fixation of intraocular lenses is a safe and effective method in the eyes absent of capsular support.