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人工晶体脱位或半脱位的处理 被引量:15

Management of dislocated or subluxated posteriorchamber intraocular lens
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摘要 总结20例(20只眼)人工晶体脱位或半脱位的处理经验,20例(20只眼)均为白内障囊外摘除合并后房型人工晶体植入。术中发生者2例,术后发生者18例,分别发生于术后第1天至3年不等。其中瞳孔夹持12例,脱位于玻璃体内4例,“东西”综合征2例,“日落”和“日出”综合征各1例。20例中,1例轻度“日落”综合征用缩瞳剂治疗;2例瞳孔夹持经保守治疗成功;17例用手术治疗。手术治疗中,3例由原切口直接取出晶体;5例合并玻璃体手术取出晶体;9例瞳孔夹持采用手术复位,复位成功者7例,2例短期复位后复发。并讨论了人工晶体脱位或半脱位的原因及处理方法。 AbstractThe experiences of the management of 20 cases(20 eyes)of intraocular lens(IOL)dislocation orsubluxation were summarized in this report.All thepatients underwent primary extracapsular cataract ex-traction with posterior chamber IOL implantation.The dislocation or subluxation occurred in 2 eyesintraoperatively and 18 eyes in 1 day to 3 years,post-operatively.The IOLs were captured at pupils in12 eyes, dislocated into the vitreous in 4 eyes,repre-sented as in westeast svndrome in 2 eyes and sunsetand sunrise syndrome in 1 eye and 1 eye,respectively. Of the 20 eyes,1 eye with mild sunset syndrome was treated with a miotic,2 eyes with IOL pupillary cap-ture were treated successfully by conservative therapyand the rest, by surgeries.In cases treated by opera-tions,the IOLs were removed from original incisionsin 3 eyes,by vitrectomies in 5 eyes and surgicalreposition of IOLs were undertaken in 9 eyes with IOLpupillary capture of which 7 eyes were suceessful andin 2 eyes reeurrence took plaee shortly after reposition.The causes and management of IOL dislocation orsubluxation were discussed.
出处 《中华眼科杂志》 CAS CSCD 北大核心 1994年第3期177-179,共3页 Chinese Journal of Ophthalmology
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参考文献3

  • 1周朝晖,白内障手术及并发症,1991年
  • 2王德良,人工晶体植入手术,1991年
  • 3魏景文,眼内人工晶体的并发症和处理,1991年

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