晶状体不全脱位的手术治疗进展

Progression on surgical management of lens subluxation

现代晶状体不全脱位手术治疗的核心是最大限度地保留和重塑晶状体囊袋悬韧带隔,以减少玻璃体视网膜相关并发症的发生。囊袋拉钩、囊袋张力环、囊袋张力带、囊袋锚及飞秒激光辅助超声乳化白内障手术的应用使手术更加微创和可控,晶状体囊袋的远期稳定性越来越好,新型功能性人工晶状体在某些病例中有望使用。

The core of the modern surgical management for the lens subluxation is the retention and remodeling of the septum of capsule and zonule to the greatest extent,in order to reduce the incidence of complications related to vitreous and retina. With the auxiliary apparatus of capsular retractors, capsular tension rings, capsular tension segments,capsular anchor and femtosecond laser-assisted phacoemulsification cataract surgery makes operation more mini-invasive and controllable. The stability of capsular bag is getting better and better and the new functional intraocular lens is expected to be used in only the most ideal cases.