国际眼科纵览

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晶状体不全脱位手术方法研究进展

陈佳惠  景清荷  蒋永祥   

  1. 200031 上海,复旦大学附属眼耳鼻喉科医院眼科
  • 收稿日期:2017-02-13 出版日期:2017-04-22 发布日期:2017-04-20
  • 通讯作者: 蒋永祥,Email: yongxiang_jiang@163.com
  • 基金资助:

     国家自然科学基金联合基金 (U1503124)

Research progress on surgical management of lens subluxation

CHEN Jia-hui, JING Qing-he, JIANG Yong-xiang   

  1. Department of Ophthalmology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai 200031, China
  • Received:2017-02-13 Online:2017-04-22 Published:2017-04-20
  • Contact: JIANG Yong-xiang, Email: yongxiang_jiang@163.com
  • Supported by:

    Nature Science Union Foundation of China ( U1503124)

摘要:

晶状体不全脱位目前以手术治疗为主。为最大限度地保留和重塑晶状体囊袋悬韧带隔,囊袋拉钩、囊袋张力环、囊袋张力带和囊袋锚等多种新式囊袋辅助装置以及飞秒激光辅助白内障手术的应用使手术更加安全,术后并发症更少。对术前临床评估、手术方式选择、术中设备使用到人工晶状体的应用,眼科医生需要进行全面的考虑和评估,尽量减少术中术后并发症,保持囊袋和人工晶状体的稳定性,以获得最佳的手术治疗效果。(国际眼科纵览, 2017,  41:   101-105)

Abstract:

The surgical treatment is the main management for lens subluxation at present. In recent years, to retain and remodel the septum of the capsular bag and zonule to the fullest extent, some novel capsular auxiliary devices, such as capsular retractors, capsular tension rings, capsular tension segements, capsular anchors, and the  femtosecond laser-assisted cataract surgery have been used, which makes the operation safer and leads to less postoperative complications. When treating  patients with lens subluxation,   the preoperative clinical evaluation, the selection of surgical approaches, the use of intraoperative equipment, and the implantation of intraocular lens (IOL) need to be considered comprehensively by ophthalmic surgeons. In order to obtain the best effect of surgical management, surgeons should try to reduce the intraoperative and postoperative complications as much as possible, and maintain the stability of the capsular bag and IOL.(Int Rev Ophthalmol,  2017,  41:    101-105)