Glinchuk Ia I, Kiselev A V
Oftalmol Zh. 1989(3):142-4.
In 112 eyes of 65 patients a clear lens in the Marfan's syndrome was removed through the approach in the flat part of the ciliary body. Before operation, in all patients who had peripheral degeneration of the retina peripheral prophylactic argon laser coagulation of the retina was made. At the time of operation, in 12 eyes some pieces of lenticular substance penetrated into anterior segments of the vitreous body, which in all cases was removed by means of a lens vitreotome. One month after lensectomy, in 1 patient retinal detachment developed that totally reattached after surgical intervention. In 99 eyes (88.4%) visual acuity improved after surgery as compared with that before surgery. The analysis of the obtained results has shown that transciliary lensectomy is a reliable method of surgical treatment for subluxation of a clear lens in the Marfan's syndrome.
在65例患者的112只眼中,通过睫状体扁平部入路摘除了马凡综合征患者的透明晶状体。术前,对所有存在视网膜周边变性的患者均进行了视网膜周边预防性氩激光凝固术。手术时,12只眼中有一些晶状体物质碎片进入玻璃体前段,所有这些情况均通过晶状体玻璃体切割器予以清除。晶状体切除术后1个月,1例患者发生视网膜脱离,经手术干预后完全复位。与术前相比,99只眼(88.4%)术后视力提高。对所获结果的分析表明,经睫状体晶状体切除术是治疗马凡综合征透明晶状体半脱位的一种可靠手术方法。