白内障手术中Ⅰ期人工晶状体睫状沟缝线固定术的体会

Experience of intraocular lens implantation sutured in ciliary sulcus at Ⅰ phase in cataract surgery

目的：探讨白内障复明术中Ⅰ期人工晶状体睫状沟缝线固定手术的技巧,并发症和发生原因及处理方法。方法：回顾36例37眼Ⅰ期行人工晶状体睫状沟缝线固定术手术方法,并对手术效果及并发症予以分析。结果：术后随访3~24mo,最佳矫正视力≥0.8者4眼（11%）,0.4~0.8者19眼（51%）,0.1~0.3者14眼（38%）。主要并发症为角膜轻水肿内皮混浊10眼（27%）,玻璃体出血3眼（8%）,所有患者无严重并发症。结论：Ⅰ期人工晶状体睫状沟缝线固定术是白内障常规手术方法的补充,安全、有效,可显著提高视力,减少并发症的发生。

AIM ： To investigate the surgical skills,the causes and the treatment of the complications of intraocular lens implantation sutured in ciliary sulcus at I phase in cataract surgery.METHODS： Thirty- six cases（ 37 eyes） that couldn ＇t implant intraocular lens normally were treated with intraocular lens sutured in ciliary sulcus. The surgical effect and complications were analyzed.RESULTS： Patients were followed up for 3- 24 mo. The postoperative best corrected visual acuity（ BCVA） was ≥0. 8 in 4 eyes（ 11%）,0. 4- 0. 8 in 19 eyes（ 51%）,0. 1- 0. 3in 14 eyes（ 38%）. There were 10 eyes（ 27%） with corneal endotheliumedema, 3 eyes（ 8%） with vitreous hemorrhage, and all the symptoms disappeared after dealing. There were no serious complications and sequelae in all the patientsCONCLUSION： Intraocular lens implantation sutured in ciliary sulcus at Ⅰ phase in cataract surgery is a complement of the conventional surgery method for cataract with safety and effectiveness. It can increase the vision significantly and reduce the complications.