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目的探讨小切口人工晶状体睫状沟缝线悬吊术治疗玻璃体切除术后无后囊无晶状体眼术后疗效观察。方法对玻璃体切割联合晶体切除手术的后囊缺如患者41例41眼行小切口人工晶状体睫状沟缝线悬吊术治疗。结果所有患者术后裸眼视力均有明显提高。术后3个月检查,视力:21只眼0.8～1.0,0.5～0.7者15例,0.4～0.55只眼,平均散光为(0.8±0.2)DC;眼压:(15±3)mmHg,眼前节:无角膜内皮失代偿、人工晶体偏位及抖动;眼底:无眼内出血、视网膜脱离。结论小切口人工晶状体睫状沟缝线悬吊术,手术效果可靠,术中安全,术中术后并发症明显减少,是一种理想的手术方法。
Objective To investigate the effect of ciliary sulcus suture suspension after small incision intraocular lens in the treatment of posterior capsule aphakia after vitrectomy. Methods 41 cases of 41 cases underwent vitrectomy combined with cystectomy were treated with ciliary sulcus suture suspension. Results All patients had significant improvement of uncorrected visual acuity. Visual acuity was observed at 3 months after operation. Visual acuity was observed in 15 eyes (0.8 ~ 1.0, 0.5 ~ 0.7) and 0.4 ~ 0.55 eyes in 21 eyes. The mean astigmatism was (0.8 ± 0.2) Section: no corneal endothelial decompensation, intraocular lens deviation and jitter; fundus: no intraocular hemorrhage, retinal detachment. Conclusion Small incision intraocular lens ciliary sulcus suture suspension, the operative effect is reliable, intraoperative safety, postoperative complications significantly reduced, is an ideal surgical method.