目的 探讨治疗无虹膜白内障或无晶状体眼的有效方法。方法 总结、分析33例(34只眼)因虹膜缺损在我中心接受带黑色虹膜隔人工晶状体(intraocular lens,IOL)植入手术患者的术后疗效。随访时间1~52个月。其中IOL I期植入18只眼,Ⅱ期植入16只眼。结果 术后矫正视力≥1.0者17只眼,0.5~0.9者11只眼,0.1~0.4者6只眼;全部患者畏光症状消失;术后无IOL脱位等并发症发生。结论 带黑色虹膜隔人工晶状体植入手术是治疗无虹膜白内障或无晶状体眼安全、有效的方法。
OBJECTIVE: To discuss the effect of black-diaphragm intraocular lens implantation in the management of cataract or aphakia with aniridia. METHODS: Thirty-three cases (34 eyes) of black-diaphragm posterior chamber intraocular lens implantation were retrospectively analyzed, among which 18 eyes had undergone primary intraocular lens implantation and 16 secondary intraocular lens implantation. RESULTS: After 1-52 months of follow-up, postoperative corrected visual acuities were greater-than-or-equal 1.0 in 17 eyes, 0.5-0.9 in 11 eyes and 0.1 -0.4 in 6 eyes. The complications included intraoperative ciliary body bleeding in 2 eyes and retinal detachment in one eye. CONCLUSION: Black-diaphragm intraocular lens implantation is effective in the management of cataract or aphakia with aniridia.