摘要
目的:探讨晶体后囊膜部分或全部不完整情况下的人工晶体植入的方法。方法:选用襻的中央各有一个孔的人工 晶体,用聚丙烯缝线将其两襻固定在睫状沟处。结果:15例(15眼)病例中,12例视力为0.6以上,3例矫正视力在0.2-0.4。所有人工晶体位置均正常。主要并发症是术后初期虹膜、睫状体出血,但均能自行吸收。结论:两点式人工晶体固定术可以用于严重的眼球外伤后或手术中晶状体后囊膜完全或大部分缺如的病例,术后可提高视力,避免配戴矫正眼镜的不适,和前房型人工晶体植入后严重的炎症反应,从而解决这些病例无法植入后房型人工晶体或植入困难的问题。同时,该手术优点是缝针次数少,眼内出血发生率少,减轻了眼内组织反应,并发症明显比四点式固定术少。
Objective: To search a method of implanting of intraocular lens(IOL)under without or uncompleted capsular membrane. Methods: IOL with one hole in middle of each haptic were used. The haptic IOL were trans-sclerally fixed to the sulcus by Proleine sutures. Results: 7 of 12 cases corrected visual acuity were 0.6 or better, 3 eyes were 0.4 or better. No significant IOL tilt was detected. Conclusion: Two-point trans-scleral IOL fixation technique should used for the heavier eye injuries cases without or uncompleted capsular membrane. It could increase their visual. This method could be effective in posterior-chamber IOL implanting in these cases, also be effective in solving the problem of IOL tilting.
出处
《伤残医学杂志》
2004年第1期41-43,共3页
Medical Journal of Trauma and Disability
