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1.
李静 《国际眼科杂志》2010,10(1):169-170
目的:评价囊袋张力环(capsular tension ring,CTR)在晶状体半脱位的白内障手术中的应用。方法:对15例15眼合并白内障的晶状体半脱位患者连续环形撕囊(continues curvilinear capsulorhexis,CCC)后植入CTR,然后行白内障超声乳化,及人工晶状体植入术。结果:所有15眼IOL正位,无倾斜及偏位,术后10~12mo观察矫正视力满意,未发现CTR引起的并发症。结论:CTR植入是治疗合并晶状体半脱位的白内障超声乳化的一种安全、有效的方法,可以防止人工晶状体偏位,减少手术并发症。  相似文献   

2.
李雪江  李静 《国际眼科杂志》2008,8(5):1018-1019
目的:评价晶状体囊袋张力环(capsular tension ring,CTR)在晶状体半脱位白内障超声乳化手术中的应用效果。方法:对13例(13眼)合并晶状体半脱位的白内障患者行白内障手术,术中连续环形撕囊后植入CTR,然后行超声乳化及后房型折叠人工晶状体囊袋内植入。结果:13眼的人工晶状体均处于正位,无明显偏位及倾斜。术后矫正视力>0.8者4眼;0.4~0.7者8眼;0.1者1眼,为老年性白内障合并黄斑区脉络膜新生血管患者,未见由CTR引起的并发症。结论:在超声乳化治疗晶状体脱位的白内障手术中运用CTR,能提高手术安全性,防止人工晶状体偏位,减少手术并发症,是一种良好的白内障手术辅助工具。  相似文献   

3.
目的:评价晶状体囊袋张力环(capsular tension ring,CTR)在外伤性晶状体半脱位白内障超声乳化手术中的应用效果。方法:对10例10眼外伤性白内障伴晶状体半脱位患者行白内障手术,术中连续环形撕囊后植入CTR,超声乳化术摘除白内障后,囊袋内植入后房型人工晶状体。结果:10眼术后随访3mo~2a,矫正视力0.3者2眼,0.4~0.7者6眼,>0.8者2眼。人工晶状体均基本正位,无明显倾斜偏位。仅1例患者于随访2a时出现后发性白内障,未见由CTR引起的并发症。结论:在外伤性晶状体半脱位白内障超声乳化手术中运用CTR,能提高手术安全性,减少手术并发症,是一种有效的白内障手术辅助工具。  相似文献   

4.
目的探讨虹膜拉钩联合囊袋张力环(CTR)在晶状体半脱位白内障患者术中应用的有效性和安全性。方法回顾性病例研究。各种原因晶状体半脱位白内障患者22例(22眼),其中外伤性白内障13眼,马凡氏综合征4眼,白内障超声乳化术中悬韧带离断3眼,不明原因者2眼。行3.2 mm透明角膜隧道切口及连续环形撕囊,150°穿刺刀做间隔90°的4个角膜缘穿刺切口,用4个一次性虹膜拉钩钩住撕囊边缘,植入CTR,超声乳化摘除白内障,囊袋内植入后房型人工晶状体。结果22例晶状体半脱位白内障患者均顺利植入了囊袋张力环及后房型人工晶状体,术后患者视力得到提高,所有植入的人工晶状体均基本位于正位,无明显倾斜、偏位。术后随访6~36个月,最佳矫正视力0.2~0.4者6眼,0.5~0.8者11眼,0.8以上者5眼,4例患者出现后发性白内障,未见视网膜脱离等其他并发症。结论在晶状体半脱位白内障超声乳化术中运用虹膜拉钩联合CTR植入,能提高手术安全性,减少手术并发症,是一种有效的白内障超声乳化手术辅助工具。  相似文献   

5.
目的:评价晶状体囊袋张力环(capsular tension ring,CTR)在先天性晶状体半脱位超声乳化吸除术中的应用价值.方法:对18例31眼先天性晶状体半脱位患者行晶状体超声乳化吸除联合CTR及 IOL 植入术.测量手术前后视力,使用Image-ProPlus v6.0软件测定IOL位置,观察术中术后并发症.结果:所有患者术后裸眼视力均较术前提高.术后人工晶状体均有不同程度的偏心,其中2眼人工晶状体偏位大于2mm并逐渐加重,于术后3mo行Ⅱ期手术将偏位最大方向CTR缝合固定于巩膜后恢复正位.结论:在白内障合并晶状体半脱位患者中行晶状体超声乳化吸除术中植入CTR是安全有效的方法,有利于保持囊袋的稳定,便于手术操作,保持人工晶状体的基本正位,减少手术并发症.如术后晶状体偏位加重可Ⅱ期行CTR巩膜缝合固定术.  相似文献   

6.
目的 比较囊袋内张力环(CTR)植入术和人工晶状体(IOL)巩膜缝合固定术治疗先天性晶状体半脱位的有效性及安全性.方法 将2008年6月至2009年10月就诊的27例(45只眼)年龄3~50岁的先天性晶状体半脱位患者,随机分为两组,分别采用CTR植入并二期CTR固定术(24只眼)与IOL巩膜缝合固定术(21只眼)治疗,术后观察视力、最佳矫正视力(BCVA)、散光等指标,术后3个月行前节OCT及晶状体后照法测量IOL的倾斜及偏心值,记录手术并发症.结果 术后3个月,最佳矫正视力CTR组为0.75,IOL固定组为0.54;散光度数CTR固定后为1.47D,IOL固定组为2.35D;CTR固定后IOL倾斜为5.48°,IOL固定组IOL倾斜为7.37°;两组术后BCVA、散光、IOL倾斜度数的差异均有统计学意义(P<0.05):CTR固定后IOL偏心为1.09mm,IOL固定组IOL偏心为0.88mm,差异无统计学意义(P>0.05).IOL固定组4只眼IOL夹持.结论 超声乳化晶状体吸除联合囊袋内CTR和IOL植入、二期CTR巩膜缝合固定术是治疗先天性晶状体半脱位的更好选择.  相似文献   

7.

目的:探讨巩膜固定囊袋张力环(SFCTR)植入联合晶状体超声乳化吸除加人工晶状体(IOL)植入术治疗外伤性晶状体半脱位的临床疗效。

方法:连续选取2018-12/2023-02行SFCTR植入联合晶状体超声乳化吸除加IOL植入术治疗的外伤性晶状体半脱位患者14例14眼。术后随访行视力、眼压、眼前段照相、超声生物显微镜(UBM)等检查,并记录IOL的位置及术后并发症等情况。

结果:纳入患者均成功植入SFCTR和囊袋内IOL。术后平均随访1.92±1.36 a,末次随访时,UDVA(0.20±0.18 LogMAR)和CDVA(0.16±0.17 LogMAR)均较术前UDVA(1.13±0.56 LogMAR)显著改善(P<0.01),眼压(17.64±3.67 mmHg)较术前(22.00±9.92 mmHg)降低(P<0.05)。随访期间,裂隙灯检查见IOL位于囊袋内,位置居中; UBM检查见CTR和IOL位于囊袋内,囊袋赤道部与睫状突的距离在各个方向相等。

结论:SFCTR植入联合晶状体超声乳化吸除加IOL植入术是治疗外伤性晶状体半脱位的一种微创有效的手术方法。  相似文献   


8.
Purpose  To investigate the effect of a capsular tension ring (CTR) on the prevention of marked decentration and tilt of the intraocular lens (IOL), severe anterior capsule contraction, and refractive prediction error after cataract surgery. Methods  Forty-seven eyes of 43 patients that had an implantation of a CTR during phacoemulsification surgery due to zonular instability (CTR group), and 34 fellow eyes that did not receive a CTR (no-CTR group) were enrolled. The degree of IOL decentration and tilt and the anterior capsule opening area were measured using a Scheimpflug videophotography system. Results  No significant differences were found between the two groups in the mean degree of IOL decentration (0.34 mm in the CTR group, 0.29 mm in the no-CTR group; P = 0.1401), tilt angle (2.82° in the CTR group, 2.56° in the no-CTR group; P = 0.3173), anterior capsule opening area (24.3 mm2 in the CTR group, 23.6 mm2 in the no-CTR group; P = 0.7620), or refractive prediction error (P = 0.3459). Conclusion  In eyes with either zonular dehiscence or weakness, a CTR can prevent marked IOL decentration and tilt and severe anterior capsule contraction, and may lead to prevention of refractive prediction error.  相似文献   

9.
Du XH  Yao K  Wan XH 《中华眼科杂志》2003,39(1):33-35
目的 评价晶状体囊袋张力环 (capsulartensionring ,CTR)在晶状体悬韧带断裂的白内障手术中的应用。方法 对 11例 ( 11只眼 )外伤性晶状体悬韧带部分断裂的患者行白内障手术 ,术中连续环形撕囊后植入CTR ,然后行白内障摘除及后房型人工晶状体囊袋内植入。结果  11只眼的人工晶状体均处于正位 ,无倾斜及明显偏位。术后 1个月矫正视力 0 4者 4只眼、0 5~ 0 8者 5只眼、>0 8者 2只眼。 1只眼因CTR直径过大 ,可见CTR 2个端口重叠。除白内障手术固有的并发症外 ,未见CTR引起其他并发症。结论 对晶状体悬韧带断裂的白内障患者术中应用CTR ,可利于术中操作 ,防止术后人工晶状体偏位的发生 ,并且有助于患者视力恢复 ;CRT是一种有效的白内障手术辅助工具。  相似文献   

10.
PURPOSE: To evaluate long term results of phacoemulsification with PC IOL and capsular tension ring (CTR) implantation in lens subluxation. MATERIAL AND METHODS: The study comprised of 134 patients--146 eyes with subluxated lens. In all cases phacoemulsification with PC IOL and CTR implantation was performed. RESULTS: No intaroperative complications has occured. Postoperative complications included: inflammation in the anterior chamber in 3 eyes (2.1%), retinal detachment in 2 eyes (1.4%). In all cases there was no PC IOL decentration. CONCLUSIONS: (1) CTR facilitates phacoemulsification with PC IOL implantation in lens subluxation. (2) Phacoemulsification of subluxated lens with PC IOL and CTR implantation seems to be safe and effective procedure.  相似文献   

11.
囊袋张力环植入治疗晶状体悬韧带异常   总被引:1,自引:0,他引:1  
目的 探讨超声乳化联合囊袋张力环(CTR)及人工晶状体(IOL)植入术治疗白内障有悬韧带异常者的手术效果.方法 10例16只眼具有晶状体悬韧带松弛或部分断裂的白内障,施行超声乳化联合CTR及IOL植入手术.结果 术后随访6月,有2例失访.末次检查8例13只眼的最佳矫正视力(BCVA)都有增进,所有术眼CTR都位于囊袋内,仅有1只眼在术后6个月IOL位置轻度偏中心,3只眼轻度后囊膜混浊.结论 对半脱位晶状体采用超声乳化白内障吸除联合CTR及IOL植入是一安全有效的手术,严爵半脱位和有进展的病例才需作改良CTR(M-CTR)巩膜缝合固定术.  相似文献   

12.
Aim: This study aimed to compare the effects of toric intraocular lens (IOL) implantation with a capsular tension ring and toric IOL implantation only in patients with axial myopic astigmatism who had undergone cataract surgery. Methods: Of 34 patients with axial myopia, 16 patients who had received IOL and capsular tension ring (CTR) implantation were included in the combined group and 18 patients who received toric IOL implantation only were included in the simple group. Uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA) were evaluated by measuring subjective refraction, residual astigmatism, and the toric IOL axis six months post-surgery. Results: At six months postoperatively, the UCVA for the combined and simple groups was 4.6 ± 0.1 and 4.5 ± 0.2, respectively, a statistically significant difference (t = 3.531, P<0.05). The toric IOL in all of the cases was located in the capsular sac, but there were more cases with IOL rotation (12 eyes) in the simple group than in the combined group (4 eyes). The rotation angles were 20°~30° (one eye), 10°~20° (four eyes), and <10° (seven eyes) compared with 2°~5° (four eyes). The residual astigmatism was –0.50 ± 0.25 D in the combined group, not a significant difference from the predicted residual astigmatism (–0.35 ± 0.13 D). There was a significant difference in the simple group (–1.25 ± 0.33 D) when the predicted residual astigmatism was compared (–0.37 ± 0.11 D) (t = –9.511, P < 0.01). Conclusions: In patients with axial myopic astigmatism, CTR can effectively increase the rotational stability of a toric IOL, achieving improvement in corneal astigmatism and visual acuity.  相似文献   

13.
PURPOSE: To study the intraoperative performance and postoperative outcomes of Cionni modified capsule tension ring (CTR) and intraocular lens (IOL) implantation in the capsular bag in pediatric eyes with ectopia lentis. SETTING: John A. Moran Eye Center, Salt Lake City, Utah, USA. METHODS: Thirty-five eyes (22 children) with ectopia lentis and visually significant cataract that had lens aspiration and in-the-bag implantation of single-piece AcrySof IOL and Cionni CTR were included. Single- and double-eyelet CTRs were used. The rings were sutured to the sclera using 9-0 or 10-0 polypropylene (Prolene) sutures. Preoperative and postoperative best corrected visual acuity (BCVA), intraoperative performance, IOL centration, and complications were studied. RESULTS: The mean patient age was 8.2 years +/- 5.1 (SD) and the median follow-up, 28 months. A double-eyelet CTR was implanted in 12 eyes and a single-eyelet CTR, in 23 eyes. The mean BCVA at the final follow-up (0.37 +/- 0.25 logMAR, 33 eyes) was significantly better than preoperatively (0.78 +/- 0.42 logMAR, 28 eyes) (P = .003). At the last examination, the BCVA was 20/40 or better in 16 eyes (45.7%). Three eyes (8.5%) required resuturing for IOL decentration. Nineteen eyes (54.3%) had a secondary procedure for posterior capsule opacification. Other complications included anterior capsule opacification (2.85%), cystoid macular edema (5.71%), chronic uveitis (5.71%), and vitreous prolapse (2.85%). CONCLUSION: Implantation of the Cionni CTR and single-piece AcrySof IOL in the capsular bag in pediatric eyes with subluxated lenses was safe and effective and led to a stable IOL with few significant complications.  相似文献   

14.
刘刚 《国际眼科杂志》2009,9(10):1957-1958
目的:评价晶状体囊袋张力环(capsular tension ring,CTR)在白内障合并晶状体半脱位行超声乳化白内障吸除术中的应用价值。方法:对15例16眼白内障合并晶状体半脱位患者行超声乳化白内障吸除术,术中连续环行撕囊后植入CTR,超声乳化摘除白内障,囊袋内植入后房型人工晶状体,若晶状体半脱位>1/2需植入固定孔型CTR,将CTR固定孔上的聚丙烯线固定于悬韧带离断一侧板层巩膜壁上。结果:所有植入的人工晶状体均位于正位。术后随诊3~9mo,矫正视力0.1~0.4者5眼,0.5~0.8者8眼,>0.8者3眼。结论:在白内障合并晶状体半脱位患者行超声乳化白内障吸除术中植入囊袋张力环是安全有效的方法,有利于保持囊袋的完整,便于后房型人工晶状体植入,防止人工晶状体的偏位,减少手术并发症,术后视力恢复快。  相似文献   

15.
Yang J  Lu Y  Luo Y  Wang L 《中华眼科杂志》2007,43(6):519-524
目的评价在晶状体悬韧带异常情况下行超声乳化白内障吸除术时植入囊袋张力环(CTR)来提供晶状体囊袋支持的中长期临床效果。方法对2003年1月至2004年7月期间因晶状体悬韧带松弛或部分断裂或合并白内障在我院行超声乳化白内障吸除及CTR和人工晶状体(IOL)植入术的19例患者(22只眼)进行为期2年的随访。随访指标为最佳矫正视力和屈光度数、眼压、CTR和IOL及囊袋复合体的位置、晶状体后囊膜混浊(PCO)和晶状体囊袋的收缩程度。应用眼前节成像系统Pentacam采集各眼的Scheimpflug图像,分析术后1、6、12和24个月IOL的偏心值与倾斜度。结果术后2年随访结果:末次随访最佳矫正视力较术前提高≥2行者20只眼(90.9%),提高1行者2只眼(9.1%)。CTR位置:21只眼CTR位于囊袋内,1只眼CTR部分脱出于囊袋外。IOL位置:22只眼的IOL均位于囊袋内,术后1个月1只眼轻度偏中心,术后2年5只眼轻度偏中心。PCO情况:末次随访3只眼(13.6%)因重度PCO行掺钇钕石榴石激光后囊膜切开,余19只眼为轻度PCO,无需处理。晶状体囊袋收缩程度:末次随访1只眼囊袋中度收缩。Pantacam检查术后1、6、12和24个月IOL的平均偏心值分别为(0.393±0.094)、(0.406±0.094)、(0.415±0.093)、(0.463±0.172)mm,术后1、6与24个月比较,差异有统计学意义(P〈0.05)。倾斜度分别为2.637°±0.369°、2.653°±0.349°、2.682°±0.348°、2.714°±0.360°,各组间差异无统计学意义(P=0.220)。结论CTR合并IOL植入治疗晶状体悬韧带异常可获得良好视力。术后2年的随访观察证实CTR的植入抑制了PCO和囊袋收缩的发生,并维持IOL在囊袋内位置的良好稳定性。(中华眼科杂志,2007.43:519-524)  相似文献   

16.
目的 比较一期改良式囊袋张力环(modified capsular tension ring,MCTR)巩膜固定或二期囊袋张力环(capsular tension ring,CTR)-囊袋复合体巩膜固定治疗中重度晶状体不全脱位的临床效果.方法 回顾性研究.收集我院2012年1月至2015年12月中重度(120°~270°)晶状体不全脱位患者30例43眼,均在局部麻醉下行超声乳化白内障吸出及MCTR或CTR和IOL囊袋内植入术,A组23眼均采用MCTR联合IOL植入术,一期巩膜固定;B组20眼均采用一期CTR联合IOL植入术,3~6个月后行二期CTR-囊袋复合体巩膜固定术.观察两组术后6个月最佳矫正视力、术后囊袋复合体的位置及并发症等情况.结果 术后6个月,A组87%患眼最佳矫正视力≥0.6,B组95%患眼最佳矫正视力≥0.6,两组相比差异无统计学意义(P>0.05).术后所有CTR、IOL均位于囊袋内,囊袋中度收缩偏中心A组2眼,B组1眼,两组发生率相比差异无统计学意义(P>0.05),均行YAG激光前囊膜松解后缓解.术后早期(1个月)并发症:前房渗出膜A组3眼,B组1眼;一过性高眼压A组5眼,B组2眼,两组两种并发症发生率相比差异均无统计学意义(均为P>0.05).术后远期(6个月)并发症:后发性白内障A组3眼,B组1眼,两组相比差异无统计学意义(P>0.05),均行YAG后囊切开术.结论 一期MCTR巩膜固定或二期CTR-囊袋复合体巩膜固定术后囊袋复合体的位置和稳定性均良好,对中重度晶状体脱位治疗均有效.  相似文献   

17.
刘刚  高丰  戴襄军  刘月君  李芳 《国际眼科杂志》2016,16(11):2130-2132
目的:评价人工晶状体( intraocular lens,IOL)单襻囊袋内缝合固定治疗外伤性晶状体半脱位手术的方法、效果及可行性。
  方法:选择2013-03/2015-03我院术前晶状体脱位范围不大于2个象限的外伤性白内障患者12例12眼,行拦截劈裂超声乳化白内障吸除术或小切口晶状体摘除术。 IOL采用单襻囊袋内缝合固定术,即一侧襻植入未见明显脱位方位囊袋内,将聚丙烯缝线捆绑另一侧襻的中部后穿过囊膜赤道部固定巩膜壁的方法植入脱位最严重方位的囊袋内。术后观察裸眼视力、最佳矫正视力( best corrected visual acuity,BCVA)、眼压、角膜内皮细胞计数、IOL位置等指标,并对手术并发症进行记录。
  结果:手术完成均顺利,术后视力提高明显,术后随访6~12mo,随访期间BCVA≥0.8者2眼,0.4~0.6者7眼,≤0.3者3眼,67%的视力稳定在0.5~0.6;术后随访期间眼压正常,手术对角膜内皮细胞影响轻微,所有IOL均处于正位,术中、术后未有严重并发症发生。
  结论:在不植入囊袋张力环( capsular tension ring,CTR)的情况下,使用IOL单襻囊袋内缝合固定治疗外伤性晶状体半脱位,可显著提高患者的BCVA,并且安全性好,有效地避免了IOL的夹持和偏位,临床疗效满意。  相似文献   

18.
Purpose: To evaluate intra‐individual differences in posterior capsule opacification (PCO) and visual performance between spherical AcrySof SN60AT and an aspheric AcrySof SN60WF intraocular lens (IOL) with a posterior aspheric surface, both of which are made of same hydrophobic acrylic material. Setting: Ophthalmology Department, St Thomas’ Hospital, London, UK. Methods: In this prospective randomized, fellow‐eye comparison, an aspheric IOL, which is 9% thinner in comparison with the spherical IOL, was randomized to the first eye of 47 patients and fellow‐eye surgery was performed within 3 weeks. Follow‐up was at 1, 3, 6, 12 and 24 months. Corrected logMAR visual acuity (CDVA) was measured at 100% and 9% contrast. After pupil dilation, digital retroillumination photographs were taken and the mean PCO percentage was calculated using poco software at each follow‐up visit. Results: At 1, 3, 6, 12 and 24 months, 47 (94 eyes), 44 (88 eyes), 42 (84 eyes) and 41 (82 eyes) patients were followed‐up respectively. Hundred per cent and 9% of LogMAR CDVA was not significantly different between the two IOLs (p = NS at all time‐points). Percentage area PCO scores (mean ± SD) at 1, 3, 6, 12 and 24 months with the spherical IOL was 5.82 ± 9.89, 7.76 ± 16.83, 7.21 ± 12.46, 9.29 ± 18.25 and 14.39 ± 25.42, respectively, and with an aspheric IOL was 8.91 ± 12.79, 5.97 ± 10.32, 5.15 ± 7.92, 7.68 ± 11.18 and 12.18 ± 20.10, respectively (p = NS at all time‐points). Conclusions: Posterior capsule opacification was not significantly different between the spheric and aspheric IOLs in this fellow‐eye, randomized comparison. Additional asphericity on the existing model of IOL does not influence PCO performance.  相似文献   

19.
目的:评价晶状体囊袋张力环(capsular tension ring,CTR)联合虹膜拉钩在外伤性白内障晶状体脱位手术中的应用效果。方法:对15例15眼合并晶状体半脱位的外伤性白内障患者行白内障手术,术中连续环形撕囊后,使用虹膜拉钩固定囊袋,植入CTR,然后行超声乳化及后房型折叠人工晶状体囊袋内植入。结果:15眼的人工晶状体均处于正位囊袋内。5眼术后12mo最佳矫正视力>0.8;6眼术后12mo最佳矫正视力>0.6,4眼术后视力较术前有提高,无后囊膜破裂,玻璃体进一步脱出,视网膜脱离等并发症的发生。结论:在超声乳化治疗晶状体脱位的白内障手术中运用CTR联合虹膜拉钩,能提高手术的可操作性和安全性,减少手术并发症,术后人工晶状体可以安全稳定地位于囊袋内,且居中性良好。  相似文献   

20.
目的:探讨不同手术方式治疗不同程度脱位晶状体的临床效果及安全性。方法:回顾性系列病例研究。收集2018-11/2019-05浙江中医药大学附属第一医院晶状体不全脱位合并白内障的患者11例11眼(男9例,女2例),年龄46~76(60.73±10.63)岁。其中外伤性白内障10眼,原因不详者1眼。根据脱位程度采用不同的手术方式辅助人工晶状体植入,4眼晶状体脱离范围大于270°行人工晶状体悬吊术。4眼脱离范围180°~270°行张力环植入,虹膜拉钩巩膜固定。3眼脱离范围小于180°行5-0聚丙烯线植入囊袋辅助人工晶状体植入,虹膜拉钩巩膜固定。术中视玻璃体脱出情况行前段玻璃体切除。收集患者术前术后视力、眼压。结果:所有眼球均Ⅰ期植入人工晶状体。术后视力显著提高,术前最佳矫正视力从0.77±0.26提升到0.35±0.28。术后患者眼压从24.33±13.55mmHg下降到13.85±3.80mmHg。所有患者无术中并发症发生。结论:晶状体不全脱位合并白内障的手术治疗过程中,个性化的手术方案及灵活的治疗措施,可以使得白内障手术安全、有效地进行。  相似文献   

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