摘要
目的 探讨囊袋张力环在马凡综合征合并白内障晶状体半脱位手术中的作用。方法 18例 ( 2 9眼 )马凡综合征合并白内障晶状体半脱位接受超声乳化吸出术 ,将囊袋张力环植入晶状体囊袋后 ,再植入后房型人工晶状体。结果 术后随访 6～ 18月 ,2 7眼 ( 93 .1% )保持了良好的居中性。术后 1月最佳矫正视力≥ 0 .7者 2眼 ,0 .3～ 0 .6者 2 2眼 ,<0 .3者 5眼。未发生视网膜脱离等严重并发症。结论 囊袋张力环应用于马凡综合征合并晶状体半脱位超声乳化手术 ,不仅可以提高手术的安全性 ,防止人工晶状体偏位 ,而且保留了完整的晶状体后囊 ,避免或减少玻璃体脱出 。
Objective To evaluate the advantage of capsular tension ring (CTR) during phacoemulsification for Marfan's syndrome complicated cataract with subtuxated lens.Methods 18 cases (29 eyes) of Marfan's syndrome complicated cataract with subluxated lens were implanted with capsular tension ring and posterior chamber intraocular lens (IOL) after phacoemulsification.Results After 6-8 month follow up, the intraocular lens in 27eyes(93.1%) kept basically central. One month postoperatively, the best corrected visual acuity(BCVA) was ≥0.7 in 2 eyes, 0.3-0.6 in 22 eyes and <0.3 in 5 eyes. No serious complication such as retinal detachment was seen in all cases.Conclusion Application for the patients of Marfan's syndrome complicated cataract with subluxated lens, the capsular tension ring is safe, can prevent the decentration of intraocular lens, but also keep the capsule infirety, avoid or reduce the vitrerous overflowing, and decrease effectively the possibility of retinal detachment in Marfan's syndrome patients.
出处
《眼外伤职业眼病杂志》
北大核心
2004年第10期658-660,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
马凡综合征
晶状体半脱位
晶状体乳化
囊袋张力环
人工晶状体
Marfan's syndrome
、lens subluxation
、phacoemulsification
、capsular tension ring
、intraocular lens
