四襻折叠型非球面人工晶状体缝合固定术35例临床效果观察

摘要

Objective To investigate the application of ciliary groove suture of foldable aspheric intraocular lens with four hapticsin the following cases:lens capsule disappearing in intracapsular cataract extraction and posterior capsule broken in extracapsular cataract extraction,traumatic cataract and lens dislocation.Methods Sixteen cases (35 eyes) were treated by suturing foldable aspheric intraocular lens to ciliary groove with corresponding lens implantation device through the 2.8mm corneoscleral limbus incision.Results Following up 3-36 months,all the 16 cases acquired satisfying vision and had no severe complication.Conclusions The method of foldable aspheric intraocular lens suturing to the ciliary groove is the best selection to the patients with the posterior capsule broken or disappearance.%目的 探讨四襻折叠型非球面人工品状体睫状沟缝合同定在晶状体囊内摘除术后、囊外摘除及超声乳化术中晶状体囊膜破裂严重、品状体脱位及外伤性品状体囊膜破裂等无晶状体囊膜支撑人工晶状体的患眼中的应用.方法 对2006年8月至2012年10月在延边大学附属医院眼科就诊的35例无足够晶状体囊膜支撑人工晶状体的患者,经角巩膜缘小切口进行推注器植入四襻折叠型非球面人工晶状体并缝合固定于睫状沟.结果 随访3～36个月,35例患者术后均获得较为理想的视力,且术后恢复较快,无明显并发症发生.结论 经小切口利用推注器植入四襻折叠型非球面人工晶状体并缝合固定于睫状沟,是无品状体囊膜支撑患眼植入人工品状体的较理想手术方式.