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[经平坦部晶状体切除术及前部玻璃体切除术治疗先天性晶状体半脱位]

[Pars plana lensectomy and anterior vitrectomy for the treatment of congenital subluxated lenses].

作者信息

Guo X M, Chen Y Z, Zeng L H

机构信息

Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou.

出版信息

Zhonghua Yan Ke Za Zhi. 1994 Jul;30(4):271-3.

PMID:7843016
Abstract

The conventional surgical management of congenital subluxated lenses is frequently associated with a high incidence of complications leading to poor visual prognosis. Lensectomy through the pars plana with modern techniques of microsurgery and automated suction-cutting devices was performed on 11 patients (18 eyes) whose pre-operative visual acuities with the best optical correction ranged from 0.05-0.3, which were improved postoperatively to 0.5-1.0 during a follow-up of 3 to 60 months with an average of 36 months. The complications were accidental small cuts at the pupillary borders of 3 eyes, indicating that pars plana lensectomy is a safe procedure for the treatment of congenital subluxated lenses.

摘要

先天性晶状体半脱位的传统手术治疗常常伴随着高并发症发生率,导致视力预后不佳。对11例患者(18只眼)进行了经睫状体平坦部的晶状体切除术,采用现代显微外科技术和自动抽吸切割装置,这些患者术前最佳光学矫正视力范围为0.05 - 0.3,术后随访3至60个月(平均36个月),视力提高到了0.5 - 1.0。并发症为3只眼的瞳孔边缘意外小切口,这表明经睫状体平坦部晶状体切除术是治疗先天性晶状体半脱位的一种安全手术。

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