知识与财富的链接
目的 探讨虹膜型人工晶状体植入术的临床疗效。方法 采用缝线悬吊方法对眼外伤致无虹膜和先天性无虹膜患者23例（23只眼）行虹膜型人工晶状体植入术,记录术后视力和并发症情况。结果 术后全部患者畏光症状明显减轻,术后裸眼视力提高,视力≥0.1者16只眼（70%）。术中玻璃体出血2只眼;术后人工晶状体表面渗出斑沉着13只眼,角膜失代偿5只眼,高眼压3只眼,黄斑裂孔和复发性视网膜脱离各1只眼。结论 虹膜型人工晶状体植入术可改善无虹膜和晶状体患者的视觉不适和高度远视屈光状态;但此类患者病情复杂,应把握手术适应证,充分做好术前准备工作。
OBJECTIVE: To evaluate the clinical effect of the black diaphragm intraocular lens (IOL) implantation. METHODS: The black diaphragm IOL implantation performed on 23 cases (23 eyes) of traumatic aniridia (21 eyes) and congenital aniridia (2 eyes) was studied retrospectively. RESULTS: Photophobia was reduced obviously and the naked visual acuity was improved in all 23 cases after the black diaphragm IOL implantation, VA > or = 0.1 in 16 cases (70%). The complications included vitreous hemorrhage (2 eyes) in the operation, and there were exudates on the surface of IOL (13 eyes), IOP elevation (3 eyes), macular hole (1 eye), recurrent retinal detachment (1 eye) and corneal decompensation (5 eyes) after the operation. CONCLUSION: The black diaphragm IOL implantation provides an effective means of treating traumatic or congenital aniridia, but the indication should be strictly controlled.
