本文選題：晶狀體不全脫位 + 囊袋張力環(huán)　； 參考：《眼科新進展》2017年07期

【摘要】：目的比較一期改良式囊袋張力環(huán)(modified capsular tension ring,MCTR)鞏膜固定或二期囊袋張力環(huán)(capsular tension ring,CTR)-囊袋復合體鞏膜固定治療中重度晶狀體不全脫位的臨床效果。方法回顧性研究。收集我院2012年1月至2015年12月中重度(120°~270°)晶狀體不全脫位患者30例43眼,均在局部麻醉下行超聲乳化白內障吸出及MCTR或CTR和IOL囊袋內植入術,A組23眼均采用MCTR聯合IOL植入術,一期鞏膜固定;B組20眼均采用一期CTR聯合IOL植入術,3~6個月后行二期CTR-囊袋復合體鞏膜固定術。觀察兩組術后6個月最佳矯正視力、術后囊袋復合體的位置及并發(fā)癥等情況。結果術后6個月,A組87%患眼最佳矯正視力≥0.6,B組95%患眼最佳矯正視力≥0.6,兩組相比差異無統(tǒng)計學意義(P0.05)。術后所有CTR、IOL均位于囊袋內,囊袋中度收縮偏中心A組2眼,B組1眼,兩組發(fā)生率相比差異無統(tǒng)計學意義(P0.05),均行YAG激光前囊膜松解后緩解。術后早期(1個月)并發(fā)癥:前房滲出膜A組3眼,B組1眼;一過性高眼壓A組5眼,B組2眼,兩組兩種并發(fā)癥發(fā)生率相比差異均無統(tǒng)計學意義(均為P0.05)。術后遠期(6個月)并發(fā)癥:后發(fā)性白內障A組3眼,B組1眼,兩組相比差異無統(tǒng)計學意義(P0.05),均行YAG后囊切開術。結論一期MCTR鞏膜固定或二期CTR-囊袋復合體鞏膜固定術后囊袋復合體的位置和穩(wěn)定性均良好,對中重度晶狀體脫位治療均有效。
[Abstract]:Objective to compare the clinical effect of scleral fixation with modified pouch tension loop modified capsular tension (MCTR) or capsular tension tension ring-scleral fixation (CTR- scleral fixation) in the treatment of moderate and severe dislocations of lens.Methods retrospective study.From January 2012 to December 2015, 30 patients (43 eyes) with moderate or severe dislocated lens were collected. All of them were treated with MCTR combined with IOL implantation under local anesthesia, phacoemulsification cataract extraction and MCTR or CTR and IOL pouch implantation in group A (23 eyes).20 eyes of group B were treated with CTR combined with IOL implantation for 3 ~ 6 months.The best corrected visual acuity (BCVA), the location and complications of the pouch complex in the two groups were observed 6 months after operation.Results at 6 months after operation, the best corrected visual acuity (BCVA) of 87% of the affected eyes in group A was 鈮，

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