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1、虹膜夹持型人工晶体植入联合虹膜周切术治疗无晶体眼的临床观察吴海星陈银洪(通讯作者)周金红章沐曦唐萍吴田莉(四川省遂宁市第一人民医院眼科629000)【摘要】目的:探讨并总结虹膜夹持型人工晶体(irisclipintraocularlensI0L)植入联合虹膜周切术治疗无品体眼的临床疗效。方法.•对15例15眼无后囊或少后囊存在的无品体眼进行虹膜夹持型人工晶体植入联合虹膜周切术。术后1天、1周、1月、3月随访，观察术前术后裸眼视力(visualacuity,VA)、最佳矫正视力(bestcorrectedvisualacuity,B
2、CVA)、角膜透明性、眼压(intraocularpressure,I0P)、角膜内皮细胞计数(cornealendothelialcells,CECs)及术后并发症情况。结果：术后3月，术后VA较术前显著提高；术前、术后BCVA无显著变化；术后3月角膜均恢复透明(除一眼术前即已因外伤继发角膜瘢翳而混浊)，术后3月I0P平稳正常，CECs较术前无或仅有少量减少，无一例出现人工晶状体移位、继发性青光眼、脉络膜脱离、出血、炎症渗出等并发症。结论：虹膜夹持型人工晶体植入联合虹膜周切术治疗无晶体眼，具有屈光娇正效果好、穂定性高、并发症少、
3、操作相对简单、组织损伤小等优点，疗效理想，值得推广。【关键词】虹膜夹持型人工晶体；无晶体眼【中图分类号】R77【文献标识码】A【文章编号】2095-1752(2015)11-0033-02IrisclampingtypeartificiallensimplantationunitedirisweeksclinicalobservationoftreatmentnocrystaleyesWuHaixing,ChenYinhong,ZhouJinhong,ZhangMuxi,TangPing,WuTianli.TheFirstPeop
4、le’sHospitalofSuiningcity,SichuanProvince,Suining629000,China[Abstract]ObjectiveToevaluatethetherapeuticeffectandcomplicationsofartisanirisclipintraocularlens(iols)implantationforvariousaphakia;MethodsOperatedirisclipintraocularlens(iols)implantionon15cases(15eyes)aph
5、akiawithnoorfewposteriorcapsular,thepostoperativevisualoutcomes(VAandBCVA)、intraocularpressure(IOP)、cornealendothelialcells(CECs)andcomplicationswereanalyzedin3monthsfollow-up;ResultsThepostoperativevisualacuityissignificantlyimproved(preoperative0.05±0.02,post
6、operative0.43±0.15,t=4.58，P<0.05)?whiletheBCVAhadnosignificantchanges(preoperative0.43±0.15,postoperative0.45±0.17,t=1.72,P>0.05),thepostoperativeIOPkeepnormalandstable(14.72±2.53)mmHg，therehadnosignificantlessinpostoperativeCECs(post
7、operativeCECswas(1683.76±506.27)/mm2,preoperativeCECswas(1850.97±532.42)/mm2),allcornealsrecoverdtransparentexcept1whohascornealscarbecauseofcornealinjury,allcaseshadnoobviouspostoperativecomplicationssuchasIOLdisplacement、secondaryglaucoma、choroidorreti
8、naldetachement、bleedingorinflammationeffusion,etc.ConclusionThetherapeuticeffectofirisclipintraocularlens(iols)implantionfor
