白内障手术中l期人工晶状体睫状沟缝线固定术的体会

摘要

目的：探讨白内障复明术中l期人工晶状体睫状沟缝线固定手术的技巧,并发症和发生原因及处理方法。　　方法：回顾36例37眼l期行人工晶状体睫状沟缝线固定术手术方法,并对手术效果及并发症予以分析。　　结果：术后随访3~24lo,最佳矫正视力≥0.8者4眼(11%),0.4~0.8者19眼(51%),0.1~0.3者14眼(38%)。主要并发症为角膜轻水肿内皮混浊10眼(27%),玻璃体出血3眼(8%),所有患者无严重并发症。　　结论：l期人工晶状体睫状沟缝线固定术是白内障常规手术方法的补充,安全、有效,可显著提高视力,减少并发症的发生。%AlM:To investigate the surgical skills, the causes and the treatment of the complications of intraocular lens implantation sutured in ciliary sulcus at l phase in cataract surgery. METHODS:Thirty-six cases ( 37 eyes ) that couldn’t implant intraocular lens normally were treated with intraocular lens sutured in ciliary sulcus. The surgical effect and complications were analyzed. RESULTS:Patients were followed up for 3-24mo. The postoperative best corrected visual acuity( BCVA) was ≥0. 8 in 4 eyes(11%), 0. 4-0. 8 in 19 eyes (51%), 0. 1-0. 3 in 14 eyes ( 38%) . There were 10 eyes ( 27%) with corneal endothelium edema, 3 eyes ( 8%) with vitreous hemorrhage, and all the symptoms disappeared after dealing. There were no serious complications and sequelae in all the patients CONCLUSlON:lntraocular lens implantation sutured in ciliary sulcus at l phase in cataract surgery is a complement of the conventional surgery method for cataract with safety and effectiveness. lt can increase the vision significantly and reduce the complications.