临床眼科杂志Issue(4)：304-306,3.DOI:10.3969/j.issn.1006-8422.2014.04.005
玻璃体切割联合晶状体切除术治疗严重晶状体不全脱位
Vitrectomy combined with lensectomy to treat severe lens subluxation
周霞 1谭业双 1华焱军1
作者信息
- 1. 442000 湖北十堰，湖北医药学院附属太和医院
- 折叠
摘要
Abstract
Objective To observe the efficacy of combined vitrectomy and lensectomy in the treatment of severe lens subluxation .Methods In this retrospective study , thirty-two eyes of 28 patients presented with severe lens subluxa-tion were treated with combined vitrectomy and lensectomy in our hospital from June 2010 to June 2013.Zonular fibers rup-ture were more than 180 degrees in all cases.Twenty-two eyes received foldable intraocular lens (IOL) implantation.All patients were followed up for 6 to 20 months (average 10.5 ±2.4 months).The observations included best corrected visual acuity (BCVA), endothelial cell density , intraocular pressure (IOP), IOL status, fundus and related complications .Re-sults BCVA improved (27 eyes, 84.38%) or maintained (4 eyes, 12.50%) after the surgery in majority of the pa-tients.Only in one eye (3.13%) BCVA became worse.There were no significant changes in endothelial cell density at 3 months and 6 months after the surgery .IOP were normal in all patients , and there was no anterior vitreous hernia observed . Conclusion Vitrectomy, lensectomy and foldable post chamber IOL placement for the treatment of severe lens subluxation could achieve optimal clinical outcomes with fewer complications .关键词
玻璃体切割术/晶状体切除术/晶状体不全脱位Key words
Vitrectomy/Lensectomy/Lens subluxation引用本文复制引用
周霞,谭业双,华焱军..玻璃体切割联合晶状体切除术治疗严重晶状体不全脱位[J].临床眼科杂志,2014,(4):304-306,3.
