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[无晶状体眼的二期人工晶状体植入术]

[Secondary intraocular lens implantation in aphakic eyes].

作者信息

Stankiewicz A, Bakunowicz-Lazarczyk A, Mariak Z, Urban B

机构信息

Kliniki Okulistycznej AM w Białymstoku.

出版信息

Klin Oczna. 1995 Jul-Sep;97(7-8):225-6.

PMID:8531453
Abstract

PURPOSE

Presentation of the results of secondary IOLs implantations in 35 aphakic patients operated on from January 1989 to June 1994 (in the years 1989-1994, first half).

MATERIAL AND METHODS

Of 20 men and 15 women, in 17 patients cataract was removed by phacotomy, in 18-by intracapsular cryoextraction. Secondary anterior IOL implantation was performed 1 month--20 years after cataract surgery. The power of the lenses ranged from +17.0D to +23.5D and was calculated basing on the measurement of eyeball length and corneal refraction.

RESULTS

Early complications found in 9 patients after surgery included: shallow anterior chamber in 2, anterior chamber haemorrhage in 1, iris "bombee" in 1, iritis in 1, united suteres in 2, corneal erosion in 1 and choroidal detachment in 1 eye. These symptoms declined one week after conservative treatment. In 2 patients, additional corneal suteres were inserted. One month after surgery, in all patients, visual acuity was 5/10-5/5. In 5 eyes, slight decentralisation of the pupil was observed.

摘要

目的

展示1989年1月至1994年6月(1989 - 1994年上半年)对35例无晶状体患者进行二期人工晶状体植入的结果。

材料与方法

20名男性和15名女性患者中,17例患者通过晶状体切割术摘除白内障,18例通过囊内冷冻摘除术。白内障手术后1个月至20年进行二期前房型人工晶状体植入。晶状体屈光度范围为+17.0D至+23.5D,根据眼轴长度和角膜屈光测量计算得出。

结果

9例患者术后早期出现的并发症包括:2例浅前房,1例前房出血,1例虹膜膨隆,1例虹膜炎,2例缝线联合,1例角膜糜烂,1只眼脉络膜脱离。保守治疗1周后这些症状减轻。2例患者额外植入了角膜缝线。术后1个月,所有患者视力为5/10 - 5/5。5只眼观察到瞳孔轻度移位。

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