摘要
目的观察玻璃体切割联合晶状体切除术治疗严重晶状体不全脱位的临床疗效。方法回顾性分析我院2010年6月至2013年6月收治的严重晶状体不全脱位28例（32只眼）,晶状体悬韧带断裂均超过180°。所有患者均经睫状体平坦部作闭合式玻璃体切割术,切除玻璃体及脱位的晶状体。其中22只眼联合折叠人工晶状体睫状沟缝线固定术。术后随访6~20个月,平均（10.5±2.4）个月。观察患者术后最佳矫正视力、内皮细胞计数、眼压、人工晶状体、眼底及并发症情况。结果术后与术前最佳矫正视力相比提高27只眼（84.38%）,不变4只眼（12.50%）,下降1只眼（3.13%）。术后6个月内皮细胞数与术前相比差异均无统计学意义（P〉0.05）。术后患者眼压均控制正常。术后所有患者前房未见玻璃体疝。结论玻璃体切割联合晶状体切除术治疗严重晶状体不全脱位术中、术后并发症少,联合行后房型折叠人工晶状体植入可取得较好临床效果。
Objective To observe the efficacy of combined vitrectomy and lensectomy in the treatment of severe lens subluxation. Methods In this retrospective study,thirty-two eyes of 28 patients presented with severe lens subluxation were treated with combined vitrectomy and lensectomy in our hospital from June 2010 to June 2013. Zonular fibers rupture were more than 180 degrees in all cases. Twenty-two eyes received foldable intraocular lens（ IOL） implantation. All patients were followed up for 6 to 20 months（ average 10. 5 ± 2. 4 months）. The observations included best corrected visual acuity（ BCVA）,endothelial cell density,intraocular pressure（ IOP）,IOL status,fundus and related complications. Results BCVA improved（ 27 eyes,84. 38%） or maintained（ 4 eyes,12. 50%） after the surgery in majority of the patients. Only in one eye（ 3. 13%） BCVA became worse. There were no significant changes in endothelial cell density at 3months and 6 months after the surgery. IOP were normal in all patients,and there was no anterior vitreous hernia observed.Conclusion Vitrectomy,lensectomy and foldable post chamber IOL placement for the treatment of severe lens subluxation could achieve optimal clinical outcomes with fewer complications.
出处
《临床眼科杂志》
2014年第4期304-306,共3页
Journal of Clinical Ophthalmology
