眼前段严重外伤与后房人工晶状体植入

• 作 者: 霍鸣 杨先凤 李敏 靳鵾
• 机 构: 湖北省宜昌中心人民医院,湖北省宜昌中心人民医院,葛州坝三峡医院,湖北省宜昌中心人民医院 443003,443003,443003
• 出 处: 眼外伤职业眼病杂志.附眼科手术
• 发表日期: 2004年期
• 关键词: 后房人工晶状体 严重眼外伤 虹膜根部离断 瞳孔缘 严重外伤 术后视力 眼前段 前膜 外伤性白内障 巩膜穿孔伤

目的 讨论严重眼外伤致眼前段结构紊乱的后房人工晶状体植入的手术方法。方法 眼前段结构紊乱的处理包括：前和后粘连松解、瞳孔成形、瞳孔机化膜切开、虹膜根部离断缝合和以机化膜为依托的后房人工晶状体植入术。随访６月以上。结果 ３２眼手术顺利。术后视力０．１～１．２，平均０．５。术后２５眼人工晶状体正位，７眼略偏心。人工晶状体前膜形成是主要并发症，经治疗痊愈。结论 眼前段结构恢复，用机化膜支撑人工晶状体，无需采用缝线固定的方法，可避免因缝线所致的并发症。

Objective To discuss the surgical method of posterior chamber intraocular lens implantation in patients with ocular anterior segment disorder caused by severe ocular trauma. Methods The treatment of anterior segment structural disorders include: anterior and posterior adhesion release, pupil formation, pupil mechanized film incision, iris root stump suture closure and mechanized film-based posterior chamber intraocular lens implantation. Follow-up more than 6 months. Results 32 eyes went well. Postoperative visual acuity 0.1 ~ 1.2, an average of 0.5. Twenty-five eyes of postoperative IOLs and seven eyes were slightly eccentric. IOL is the main complication of the formation, after treatment cured. Conclusion The anterior segment of the structure recovery, with mechanical membrane support intraocular lens, without the use of suture fixation, to avoid the complications caused by suture.