晶状体不全脱位的人工晶状体植入手术方法-晶状体囊缝合固定法

目的探讨晶状体不全脱位的超声乳化人工晶状体植入手术方法。方法对39例42眼晶状体不全脱位,均采用常规连续环形撕囊晶状体超声乳化吸出及囊袋内植入后房型人工晶状体(IOL)的手术方法。对脱位范围120°~270°者,先将晶状体囊缝合1针固定于睫状沟处,然后行撕囊、超声乳化及IOL囊袋内植入;对脱位范围>270°者,则需缝合固定囊2针;脱离范围<120°者则不需缝合固定。结果39例42眼,术后随访3~18月,平均8月,术后裸眼视力<0.05者3眼,占7.14%;0.05~0.25者9眼,占21.43%;0.3~0.5者10眼,占23.81%;0.6~1.0者14眼,占33.33%;1.2~1.5者6眼,占14.29%。结论根据晶状体不全脱位的程度缝合固定晶状体囊后进行超声乳化,囊袋内IOL植入,是恢复视力的有效方法。

Subluxation of lens extraction by phacoemulsification with intraocular lens implantation

Objective To explore the management for subluxation of lens by phacoemulsification combined with intraocular lens implantation.Methods The surgery for phacoemulsification and IOL implantation of the subluxated lens was performed on 42 eyes of 39 patients after sewing lens capsule to the ciliary sulcus. Results(3 months) after operation,the uncorrected vision<0.05 were in 3 eyes(7.15%),0.05-0.25 in 9 eyes(21.43%),0.3-0.5 in 10 eyes(23.81%),0.6-1.0 in 14 eyes(33.33%),and 1.2-1.5 in 6 eyes(14.29%). Conclusions The technique of phacoemulsification for subluxation of lens is a safe and effective method.