Tang S, Qiu G, Wang P, Liang X
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Yan Ke Xue Bao. 2001 Mar;17(1):35-8.
To reconstruct the anatomic and functional impairment in patients with post-traumatic aniridia, aphakia, and retinal detachment.
Four patients with unilateral aniridia and aphakia as well as retinal detachment as results of severe eye injuries underwent scleral buckling, vitrectomy, membrane peeling, endolaser photocoagulation, silicone oil or gas temponade, combined with iris diaphragm-IOL implantation.
All four patients achieved successfully anatomic and functional reconstruction after surgery. During five to 22 months postoperative follow-up, all retinas remained attached. The final visual acuity increased from finger counting to 0.1-0.3.
The combination of vitreoretinal surgery and iris diaphrgm-IOL implantation is an effective method for post-traumatic aniridia, aphakia and traumatic retinal detachment. It could ameliorate photophobia and improve the biocular vision. Furthermore, artificial iris diaphragm implantation could prevent silicone oil-endothelia contact and salvage silicone keratopathy.
重建创伤后无虹膜、无晶状体和视网膜脱离患者的解剖结构和功能损害。
4例因严重眼外伤导致单侧无虹膜、无晶状体以及视网膜脱离的患者接受了巩膜扣带术、玻璃体切除术、膜剥除术、眼内激光光凝术、硅油或气体填塞，并联合虹膜隔人工晶状体植入术。
所有4例患者术后均成功实现了解剖结构和功能重建。术后5至22个月的随访期间，所有视网膜均保持附着。最终视力从手动计数提高到0.1 - 0.3。
玻璃体视网膜手术与虹膜隔人工晶状体植入相结合是治疗创伤后无虹膜、无晶状体和创伤性视网膜脱离的有效方法。它可以改善畏光症状并提高双眼视力。此外，人工虹膜隔植入可以防止硅油与内皮接触并挽救硅油性角膜病变。
