论文部分内容阅读
目的探讨晶体或人工晶体脱位入玻璃体腔的处理方法。方法钝挫伤后晶体脱位3眼,白内障手术中或术后晶体或人工晶体脱位11眼。均采用标准睫状体扁平部三切口闭合式玻璃体切除方式。术中注入全氟化碳液体0.4～4ml。经角膜缘取出人工晶体或晶体,或是直接玻璃体腔内粉碎晶体。再植入前房型人工晶体,或行后房型人工晶体睫状沟缝线固定。结果14眼均顺利取出或粉碎玻璃体腔内晶体或人工晶体。13眼(92.86%)术中植入人工晶体。术后视力明显提高12眼(85.71%)。结论对晶体或人工晶体全脱位进入玻璃体腔者,需争取早期采用玻璃体切除联合脱位晶体或人工晶体取出或粉碎手术,争取再植入人工晶体。
Objective To investigate the treatment of dislocation of crystalline or artificial lens into the vitreous cavity. Methods Three cases of blunt trauma dislocation, cataract surgery or postoperative dislocation of crystal or intraocular lens in 11 eyes. All three standard ciliary body flat incision closed vitrectomy. Intraoperative injection of perfluorocarbon liquid 0.4 ~ 4ml. The corneal edge removed intraocular lens or crystal, or direct vitreous cavity crushed crystal. Implantation of anterior chamber intraocular lens, or posterior chamber intraocular lens ciliary sulcus suture. Results All 14 eyes were successfully removed or crushed intravitreal intraocular lens or intraocular lens. 13 eyes (92.86%) intraoperative intraocular lens implantation. Postoperative visual acuity increased significantly 12 eyes (85.71%). Conclusion The total dislocation of the crystal or intraocular lens into the vitreous cavity, we must strive for the early use of vitrectomy combined with dislocation of the crystal or artificial lens removal or crushing surgery for replantation of intraocular lens.