后房型人工晶状体睫状沟缝线固定术的临床疗效观察

Clinical effect of ciliary groove suture of posterior chamber intraocular lens

摘要:

目的:评价后房型人工晶状体睫状沟缝线固定术的临床疗效。方法:选取我院2003-11/2008-08间采用后房型IOL睫状沟缝线固定术52例53眼,其中"单襻固定法"7例7眼,"双襻固定法"45例46眼。结果:随访3～48(平均18)mo。复查时矫正视力0.2～1.2,视力≥0.6者28眼(53%),视力偏低者多为角膜瘢痕或眼底病变所致,所有眼压均在正常范围内。结论:IOL睫状沟缝线固定术是一种矫正无足够后囊膜支持的无晶状体眼的有效、安全术式。

Abstract:

AIM:To assess the clinical effect of ciliary groove suture of posterior chamber intraocular lens(IOL).METHODS:From November 2003 to August 2008,52 cases 53 eyes underwent ciliary groove suture with posterior chamber IOL all acquired satisfying result.We sutured one edge of the lens to the ciliary groove in 7 cases,which was called "single-haptic fixation".The other 45 cases 46 eyes were sutured the lens to ciliary groove in two sites,which was called "double-haptic fixation".RESULTS:Followed up for 3-48(average 18)months,the best-corrected visual acuity(BCVA)was from 0.2 to 1.2 and 28 eyes(53%)were more than 0.6.The corneal scar and fundus oculi diseases resulted in poor vision.The intraocular pressure(IOP)in all eyes was normal.CONCLUSION:IOL suturing to the ciliary groove is an effective and safe method for correction of aphakia in eyes with inadequate posterior capsular support.