论文部分内容阅读
本文对２５例（２５眼）白内障患者因各种原因后囊膜不完整而术中行睫状沟缝线固定后房型人工晶体植入（Ⅰ组）及对２０例（２１眼）术中行弹性开放襻前房型人工晶体植入（Ⅱ组）的效果进行观察，随访３～４８个月，视力在１．０以上的Ⅰ组中有３眼，占１２％，０．５～０．８有８眼，占３２％，０．１～０．４有１３眼，占５２％，０．１以下者１眼，占４％；而Ⅱ组中视力在１．０以上者有２眼，占９．５％，０．５～０．８有７眼，占３３．３％，０．１～０．４有１０眼，占４７．６％，０．１以下者２眼，占９．５％。术后并发症Ⅰ组中主要有继发性青光眼。慢性虹膜睫状体炎；Ⅱ组中主要有：１．前房出血，２．继发性青光眼，３．虹膜睫状体炎，４．人工晶体上襻脱位。结论：在白内障术中后囊破裂不能常规植入后房型人工晶体时，只要将脱出的玻璃体处理净，手术技术娴熟，植入两种人工晶体均安全可靠。
In this study, 25 cases (25 eyes) of cataract patients due to various causes of incomplete posterior capsule and intraocular line ciliary sulcus suture fixed posterior chamber intraocular lens implantation (Ⅰ group) and 20 cases (21 eyes) intraoperative flexible line襻 anterior chamber intraocular lens implantation (Ⅱ group) effect was observed 3 to 48 months follow-up, visual acuity in the group of 1.0 or more in 3 eyes, accounting for 12%, 0.5 to 0.8 8 Eyes, accounting for 32%, 0.1 ~ 0.4 eyes 13, accounting for 52%, 0.1 less than 1, accounting for 4%; while in group II visual acuity of 1.0 or more in 2 eyes, accounting for 9 .5%, 0.5 ~ 0.8 in 7 eyes, accounting for 33.3%, 0.1 ~ 0.4 in 10 eyes, accounting for 47.6%, 0.1 less than 2 eyes, accounting for 9.5 %. Postoperative complications in group I mainly have secondary glaucoma. Chronic iridocyclitis; group Ⅱ mainly: 1. Anterior chamber bleeding, 2. Secondary glaucoma, 3. Iridocyclitis, 4. IOL dislocation. CONCLUSION: When posterior capsule rupture can not be routinely implanted into posterior chamber intraocular lens in cataract surgery, it is safe and reliable to implant the two intraocular lenses as long as the prolapsed vitreous body is cleansed and the surgical technique is adept.