无缝线后房人工晶状体巩膜层间固定术的应用
The Application of Sclera Fixing Surgery in Suture Less Posterior Chamber Intraocular Lens
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摘要: 目的 探讨无缝线后房人工晶状体 (IOL) 巩膜层间固定术的临床疗效.方法 选取2016年3月至2018年2月玉溪市人民医院收治的60例行人工晶状体植入患者作为研究对象, 随机分为研究组 (n=30) 与对照组 (n=30) , 对照组给予睫状沟缝合固定后房型人工晶体, 研究组给予无缝线后房人工晶状体巩膜层间固定术治疗, 并分析2组患者视力、人工晶状体稳定性以及不良反应发生情况.结果 研究组视力改善情况明显优于对照组 (P<0.05) ;研究组人工晶状体稳定性好于对照组 (P<0.05) ;研究组不良反应发生率为6.67%, 明显优于对照组的16.67% (P<0.05) .结论 无缝线后房人工晶状体巩膜层间固定术是无晶状体伴无充分囊膜支撑眼植入后房型IOL安全有效的治疗方法, 较之巩膜缝线固定后房型人工晶体术创伤小, 并发症少, 能够有效改善患者视力, 明显降低不良反应发生率, 有利于患者预后, 值得推广.Abstract: Objective To evaluate the clinical efficacy of sclera fixing surgery in suture less posterior chamber intraocular lens (IOL) . Method From March 2016 to February 2018, 60 patients undergoing IOL implantation in the Yuxi People's Hospital were selected as the study objects. They were randomly divided into thd study group (n=30) and the control group (n=30) .The control group was given suture and fixation of ciliary sulcus in intraocular lens. The study group was treated with sclero fixing surgery in suture less posterior chamber intraocular lens, and we analyzed the visual acuity, intraocular lens stability, and occurrence of adverse reactions in both groups.Result The visual acuity of the study group was significantly better than that of the control group (P<0.05) . The stability of the intraocular lens was better in the study group than in the control group (P<0.05) . The incidence of adverse reactions in the study group was significantly higher than that of the control group (6.67%) (P<0.05) . Conclusions The sclera fixation surgery in suture less posterior chamber intraocular lens is a safe and effective treatment method for posterior chamber IOL without lens implantation with full capsular support, which has less trauma and fewer complications than sclera suture fixation of posterior chamber intraocular lens.It can effectively improve the vision of patients, significantly reduce the incidence of adverse reactions, and is beneficial to to patient's prevention, and it is worth for promoting.
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Key words:
- Suture less /
- Posterior chamber iol /
- Dclera fixing surgery /
- Suplication
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[1]张宝冬, 李晓峰.2种手术方式治疗白内障合并青光眼的比较[J].现代临床医学, 2013, 39 (05) :336-338. [2]许银霞, 王胜良, 王巧玲, 等.人工晶体脱位原因分析及手术疗效[J].第三军医大学学报, 2016, 38 (05) :527-530. [3] [3]SAUER T, MESTER U.Tilt and decentration of an intraocular lens implanted in the ciliary sulcus after capsular bag defect during cataractsurgery[J].Graefe's Archive for Clinical and Experimental Ophthalmology, 2012, 251 (1) :89-93. [4]张帆, 张健, 周琳, 等.影响白内障术后人工晶状体稳定性的相关因素分析[J].国际眼科杂志, 2017, 17 (10) :1859-1863. [5]安良宝, 何伟.无线结巩膜缝线固定后房型人工晶状体的临床应用[J].国际眼科杂志, 2015, 15 (11) :1990-1992. [6]宋邦建, 成永海, 秦洁.小切口白内障手术中后囊破裂行单襻缝线固定60例临床分析[J].滨州医学院学报, 2015, 38 (02) :152-153. [7]张凌, 陈潇, 刘翔, 等.玻璃体切除术后无晶状体眼行不同术式人工晶状体植入术的临床观察[J].临床眼科杂志, 2013, 21 (03) :193-197. [8]杨海军, 易敬林, 罗兴中, 等.眼内窥镜协助行人工晶状体睫状沟缝线固定术[J].国际眼科杂志, 2013, 13 (09) :1814-1816. [9]徐柒华, 朱建刚, 陈惠英, 等.玻璃体切割术后无晶状体眼行前房灌注下Ⅱ期IOL缝线固定术[J].国际眼科杂志, 2012, 12 (10) :1994-1995. [10]张霞飞, 吕志刚, 王晓鹏.无巩膜瓣后房型人工晶状体缝线固定术的临床观察[J].中国眼耳鼻喉科杂志, 2012, 12 (03) :175-179. [11]胡锡彬, 何建中, 邱艳飞, 等.可植入后房型接触人工晶体矫治高度近视临床观察[J].现代临床医学, 2012, 38 (06) :463-465. [12] [12]HASSENSTEIN A, NIEMECK F, GIANNAKAKIS K, et al.Toric add-on intraocular lenses for correction of high astigmatism after pseudophakic keratoplasty[J].Der Ophthalmologe:Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2017, 114 (6) :549-555. [13] [13]VASAVADA, VASAVADA.Current Status of IOL implantation in pediatric eyes:an update[J].Expert Review of Medical Devices, 2017, 14 (1) :65-73. [14]李钟实, 张海玲, 孟庆法, 等.无后囊不缝线后房型人工晶状体巩膜层间固定术[J].眼外伤职业眼病杂志, 1999, 21 (05) :448-450. [15] [15]LOPEZ-GUAJARDO L, BENITEZ-HERREROS J.Sulcus fixation of an intraocular lens by means of haptic insertions in scleral tunnels:results at one year[J].Archivos de la Sociedad Espaola de Oftalmología (English Ed) , 2010, 85 (8) :278-280.
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