本文選題：人工晶狀體 + 取出術(shù)　； 參考：《浙江大學(xué)》2014年博士論文

【摘要】：目的統(tǒng)計(jì)人工晶狀體取出術(shù)及置換術(shù)的臨床資料,分析人工晶狀體取出術(shù)的手術(shù)原因及置換術(shù)后療效。 方法回顧性分析本院2008年9月至2013年9月收治的133例(135眼)人工晶體取出術(shù),統(tǒng)計(jì)患者的術(shù)前臨床特征、手術(shù)指征、取出晶狀體時(shí)間及類型、新裝人工晶狀體型號(hào)及位置,術(shù)后療效等。 結(jié)果所有患者根據(jù)是否植入新晶體分為兩組。單純?nèi)斯ぞw取出術(shù)84例(85眼),其中前房型人工晶狀體常因角膜內(nèi)皮失代償(41%)、繼發(fā)性青光眼(30%)取出,后房型人工晶狀體眼多發(fā)生了視網(wǎng)膜脫離等眼底疾病(48%)；同期人工晶體置換術(shù)共49例(50眼),其中44例原晶體位于后房。置換指征依次是晶狀體移位／脫位(74%)、屈光度錯(cuò)誤(10%)、人工晶狀體混濁(8%)等。取出的人工晶狀體材料以一片式疏水性丙烯酸(38%)為主,其次是聚甲基丙烯酸甲酯(26%)。白內(nèi)障術(shù)后有到兩個(gè)人工晶狀體取出高峰,分別位于術(shù)后1年內(nèi)和7-12年。置換術(shù)多使用一片式硬性晶狀體植入前房或虹膜固定(58%)。置換術(shù)后視力顯著提高(p0.05),未出現(xiàn)嚴(yán)重并發(fā)癥。 結(jié)論人工晶狀體植入后發(fā)生移位／脫位是取出的最主要原因,屈光度錯(cuò)誤、人工晶狀體渾濁、角膜炎、眼內(nèi)炎等并發(fā)癥比例均有所下降。置換人工晶狀體可有效處理白內(nèi)障術(shù)后相關(guān)并發(fā)癥。
[Abstract]:Objective to analyze the clinical data of intraocular lens extraction (IOL) and intraocular lens replacement (IOL). Methods from September 2008 to September 2013, 133 cases (135 eyes) of intraocular lens extraction were retrospectively analyzed. The preoperative clinical features, surgical indications, time and type of lens extraction, the type and location of new intraocular lens were analyzed. Curative effect after operation. Results all patients were divided into two groups according to the implantation of new lens. Eighty-five eyes of 84 patients underwent intraocular lens extraction, in which anterior chamber intraocular lens was often removed due to corneal endothelial decompensation and 41%, and secondary glaucoma was 30%. Retinal detachment and other fundus diseases often occurred in posterior chamber intraocular lens (IOL) eyes, and 49 cases (50 eyes) underwent intraocular lens replacement (IOL) in the same period, among which 44 cases were located in posterior chamber. The index of replacement was lens displacement / dislocation (74%), diopter error (10%), intraocular lens opacity (8%) and so on. The main IOL material was one hydrophobic acrylic acid 38, followed by poly (methyl methacrylate). There were two peaks of intraocular lens extraction after cataract surgery, within 1 year and 7-12 years after cataract. One piece of hard lens implantation in anterior chamber or iris fixation is often used for replacement. The visual acuity was significantly improved after replacement (P 0.05) without serious complications. Conclusion displacement / dislocation after intraocular lens implantation is the main reason for removal. The rate of complications such as lens opacity, keratitis, endophthalmitis and other complications are all decreased due to wrong diopter, intraocular lens opacity, keratitis and endophthalmitis. Intraocular lens replacement can effectively deal with postoperative complications of cataract.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2014
【分類號(hào)】：R779.66

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相關(guān)期刊論文 前2條

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2 何春燕,鄭漢,陰正勤;人工晶體取出37例原因分析[J];中國實(shí)用眼科雜志;2005年07期

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本文編號(hào)：1919999