眼科新进展2017，Vol.37Issue(10)：976-978,3.DOI:10.13389/j.cnki.rao.2017.0248
瞳孔成形联合虹膜夹人工晶状体植入术治疗外伤性无晶状体眼疗效观察
Iris-claw intraocular lens implantation after pupil re construction for aphakic eyes caused by ocular trauma
刘芳1
作者信息
- 1. 054001 河北省邢台市,河北省眼科医院(河北省眼科研究所,河北省眼科重点实验室)眼外伤科
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摘要
Abstract
Objective To observe the effect of implantation of iris-claw intraocu lax lens combined with pupil reconstruction on aphakic eyes caused by ocular trauma.Methods The clinical data of 17 patients (17 eyes) of aphakic eyes treated with irisclaw intraocular lens implantation and pupil reconstruction were analyzed retrospectively,and the visual acuity,corneal endothelial cell count,intraocular pressure,intraocular lens location,pupil condition and postoperative complications were observed.Results Intraocular lens were implanted and pupils were repaired in all 17 patients (17 eyes) successfully,with no complications of intraocular lens dislocation and corneal decom pensation.The postoperative uncorrected visual acuity (0.52 + 0.17) was better than the preoperative visual acuity (0.04 + 0.02) and preoperative best corrected visual acui ty (0.44 +0.13).The corneal endothelial cell count was (1993.88 + 127.24) mm-2 6 months after operation,which was lower than that of preoperative date (2178.88 + 132.61)mm-2 (P ＜ 0.05).Preoperative intraocular pressure (15.91 + 2.73) mmHg (1 kPa =7.5 mmHg) was not significantly different from postoperative intraocular pressure (16.69 + 2.61) mmHg (1 kPa =7.5 mmHg) (P ＞ 0.05).The postoperative pupil size [(4.4 + 0.2) mm] was smaller than that of preoperative date [(5.5 + 0.3) mm] (P ＜ 0.05).The symptoms of photophobia,glare and diplopia did not occur postoperatively.Conelusion Pupil reconstruction combined with iris-claw intraocular lens implanta tion is a safe and effective method for aphalic eyes combined with absence of capsule support and ruptured iris.关键词
虹膜损伤/瞳孔成形/无晶状体眼/虹膜夹人工晶状体Key words
iris rupture/pupil reconstruction/aphakic eyes/iris-claw intraocular len分类
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刘芳..瞳孔成形联合虹膜夹人工晶状体植入术治疗外伤性无晶状体眼疗效观察[J].眼科新进展,2017,37(10):976-978,3.
