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独眼畸形患者的白内障手术联合人工晶状体植入术

[Cataract surgery with intraocular lens implantation in cyclopia patients].

作者信息

Omulecki W, Sempińska-Szewczyk J, Zawadziłło-Kobielska D, Bogorodzki B

机构信息

Katedry i Kliniki Chorób Oczu AM w Lodzi.

出版信息

Klin Oczna. 1997;99(6):383-4.

PMID:9685785
Abstract

PURPOSE

To analyse results and complications of cataract surgery with IOL implantation in monopic patients.

MATERIAL AND METHODS

41 monopic patients underwent cataract surgery with IOL implantation during the period of 1995-1997. The follow up time ranged from 3 to 28 months (mean 16 months).

RESULTS

Intraoperatively there were 2 cases of posterior capsule tears with vitreous loss. Postoperatively, transient hypertonia in 4 eyes, Descemet's membrane folds in 15 eyes, and fibrinous reaction in anterior chamber in 2 eyes were observed. 71% of patients achieved visual acuity of 5/5-5/12.

CONCLUSION

Monopia should not be considered as a contraindication for IOL implantation, although special attention should be paid to choosing the proper time of operation, which should be performed extremely carefully by an experienced surgeon.

摘要

目的

分析单眼患者白内障手术联合人工晶状体植入术的结果及并发症。

材料与方法

1995年至1997年期间,41例单眼患者接受了白内障手术联合人工晶状体植入术。随访时间为3至28个月(平均16个月)。

结果

术中发生2例后囊膜破裂伴玻璃体脱出。术后观察到4只眼出现短暂性高眼压,15只眼出现后弹力层皱褶,2只眼前房出现纤维蛋白反应。71%的患者视力达到5/5至5/12。

结论

单眼不应被视为人工晶状体植入的禁忌证,尽管在选择合适的手术时机时应特别注意,手术应由经验丰富的外科医生极其小心地进行。

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