摘要
目的观察Artisan虹膜夹持型人工晶状体治疗无晶状体眼的疗效和手术并发症。方法观察2007年3月至2009年3月间在我院住院接受Artisan虹膜夹持型人工晶状体植入术的无晶状体眼患者11例(11只眼),比较患者手术前后裸眼视力(UCVA)、最佳矫正视力(BCVA),比较术前术后眼压变化,裂隙灯显微镜观察术后角膜水肿、前房闪辉、晶状体位置,角膜内皮镜检查比较术前术后角膜内皮细胞计数,光学相干断层扫描仪(OCT)观察手术前后黄斑区视网膜厚度。结果患者术后UCVA优于术前BCVA,术前术后眼压无明显变化,术后角膜无明显水肿,晶状体位置未见明显偏移。术后1个月时角膜内皮细胞丢失无统计学意义,黄斑区厚度比术前无明显增加。结论Artisan虹膜夹持型人工晶状体植入术是一种安全有效的治疗无晶状体眼的方法,手术操作相对简单,组织损伤小,并发症少。在虹膜组织足够支撑晶状体时可作为常规术式予以考虑。
Objective To observe the efficacy and complications of Artisan iris clip intraocular lens implantation in therapy of aphakic eyes. Methods 11 cases of aphakic patients without posterior capsular were observed. Artisan iris clip intraocular lens were implanted in each aphakic eye. Preoperative uncorrected visual acuity （ UCVA ）, Best corrected visual acuity （BCVA） and postoperative UCVA, BCVA were observed and compared. Intraocular pressure changes, comeal edema, anterior chamber flash, Intraocular lens （ IOL） position were observed by using slit-lamp microscope. Corneal endothelium were also observed. Optical coherence tomography [ OCT） was used to measure macular thickness before and 1 month after surgery. Results Postoperative UCVA was better than BCVA before surgery. There were no significant changes in intraocular pressure, corneal endothelial cells and macular thickness. No significant postoperative corneal edema was observed. Conclusion Artisan iris clip intraocular lens implantation is an effective and simple therapy of aphakie eyes with less injury and complications. It＇s safe and efficiency and can be first considered in aphakie eyes with iris.
出处
《临床眼科杂志》
2009年第5期410-412,共3页
Journal of Clinical Ophthalmology
