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目的观察后房型人工晶状体睫状沟缝线固定的手术效果。方法对30例(30只眼)不能常规植入后房型人工晶状体的患者分别行一期或二期人工晶状体悬吊术,为外路法巩膜瓣下线缝固定人工晶状体在睫状沟内,术后观察3~12个月。结果本组病例手术术中顺利,术后矫正视力≥0.5者21例,占70%,无严重并发症发生。随访期间人工晶状体位置固定。术眼视力稳定。结论后囊膜破损或无后囊膜支撑不能常规植入后房型人工晶状体时,经巩膜睫状沟后房型人工晶状体悬吊术是无晶状体眼矫正屈光不正的一种安全有效的手术方法。手术效果取决于患眼条件及并发症程度。
Objective To observe the surgical effect of ciliary sulcus suture fixation in posterior chamber intraocular lenses (IOL). Methods Thirty patients (30 eyes) who could not be routinely implanted posterior chamber intraocular lens (IOP) underwent IOL or IOP suspension respectively. In order to fix the intraocular lens in the ciliary sulcus, Postoperative observation of 3 to 12 months. Results The operation of this group of patients was successful, with corrected visual acuity of 0.5 or more in 21 cases (70%) without serious complications. Intraocular lens position was fixed during follow-up. Visual acuity was stable. Conclusion Posterior capsular rupture or posterior capsule support can not be routinely implanted posterior chamber intraocular lens, the posterior ciliary sulcus posterior chamber intraocular lens suspension is aphakic eye correction of refractive error is a safe and effective surgery method. The surgical outcome depends on the condition of the affected eye and the degree of complications.