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目的 探讨用一次性皮试针头行後房型人工晶状体缝线固定术12例的临床实用价值。方法用一次性皮试针头自上方切口进入前房,入3点、9点虹膜後,从角巩膜缘後1.5mm处穿出巩膜板层面,把聚丙烯缝线的针插入皮试针孔内并插紧,随皮试针慢慢退出上方切口,将引出上方切口外的聚丙烯线两个断端分别系在C型晶状体襻的膝部,把人工晶体植入後轻轻台拉晶状体襻所系的聚丙烯线,引导人工晶状体呈水平位进入睫状沟内。结果 术后随访观察3～36(平均18)个月,术前视力为CF-0.04,随访最终视力:1眼视力增进至0.1,3眼至0.1～0.3,5眼至0.4～0.6,3眼至0.7～0.9 12眼植入位置均正常,无严重并发症发生。结论 此手术方法是对无法正常植入後房人工晶状体眼的有效补救措施。
Objective To investigate the clinical value of 12 cases of posterior chamber intraocular lens suture fixation with a disposable skin test needle. Methods A disposable skin test needle from the incision into the anterior chamber from above, into the 3 o’clock, 9 o’clock iris, 1.5mm from the scleral limbus through the sclera plate level, the polypropylene suture needle inserted into the skin test pinhole And then tight, with the skin test slowly exit the incision above, will lead to the top of the incision outside the two polypropylene lines were stitched in the C-type lens 膝 lap, the artificial lens implantation gently Taiwan 拉 lens 襻The Department of the polypropylene line, guided intraocular lens was horizontal into the ciliary sulcus. Results The postoperative follow-up was 3 to 36 (average 18) months. The preoperative visual acuity was CF-0.04. The final visual acuity was followed up: one eye increased to 0.1, 3 eyes to 0.1 to 0.3, 5 eyes to 0.4 to 0.6 eyes To 0.7 ~ 0.9 12 eyes were normal implantation position, no serious complications. Conclusion This surgical method is an effective remedy for implanted intraocular lens in the posterior chamber.