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[摘要]
目的:探讨白内障复明术中Ⅰ期人工晶状体睫状沟缝线固定手术的技巧,并发症和发生原因及处理方法。
方法:回顾36例37眼Ⅰ期行人工晶状体睫状沟缝线固定术手术方法,并对手术效果及并发症予以分析。
结果:术后随访3~24mo,最佳矫正视力≥0.8者4眼(11%),0.4~0.8者19眼(51%),0.1~0.3者14眼(38%)。主要并发症为角膜轻水肿内皮混浊10眼(27%),玻璃体出血3眼(8%),所有患者无严重并发症。
结论:Ⅰ期人工晶状体睫状沟缝线固定术是白内障常规手术方法的补充,安全、有效,可显著提高视力,减少并发症的发生。
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[Abstract]
AIM:To investigate the surgical skills, the causes and the treatment of the complications of intraocular lens implantation sutured in ciliary sulcus at I phase in cataract surgery.
METHODS:Thirty-six cases(37 eyes)that couldn't implant intraocular lens normally were treated with intraocular lens sutured in ciliary sulcus. The surgical effect and complications were analyzed.
RESULTS:Patients were followed up for 3-24mo. The postoperative best corrected visual acuity(BCVA)was ≥0.8 in 4 eyes(11%), 0.4-0.8 in 19 eyes(51%), 0.1-0.3 in 14 eyes(38%).There were 10 eyes(27%)with corneal endothelium edema, 3 eyes(8%)with vitreous hemorrhage, and all the symptoms disappeared after dealing. There were no serious complications and sequelae in all the patients
CONCLUSION:Intraocular lens implantation sutured in ciliary sulcus at Ⅰ phase in cataract surgery is a complement of the conventional surgery method for cataract with safety and effectiveness. It can increase the vision significantly and reduce the complications.
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