国际眼科纵览

• 综述 • 上一篇    下一篇

眼外伤后二期人工晶状体植入的手术方法

钱宇婧  李松峰  魏文斌   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼内肿瘤诊治研究北京市重点实验室 北京市眼科学与视觉科学重点实验室
  • 收稿日期:2018-07-18 出版日期:2018-10-22 发布日期:2018-10-25
  • 通讯作者: 魏文斌,Email: weiwenbintr@163.com
  • 基金资助:

     北京市医院管理局“登峰”人才培养计划(DFL20150201);北京市卫生系统高层次卫生技术人才培养计划(2014-2-003)

Surgical management of secondary intraocular lens implantation after ocular trauma

QIAN Yu-jing, LI Song-feng, WEI Wen-bin   

  1. Beijing Tongren Eye Center, Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2018-07-18 Online:2018-10-22 Published:2018-10-25
  • Contact: WEI Wen-bin, Email: weiwenbintr@163.com
  • Supported by:
    Beijing Municipal Administration of Hospitals’Ascent Plan (DFL20150201); Advanced Health Care Professionals Development Project of Beijing Municipal Health Bureau (2014-2-003)
     

摘要:

眼外伤后二期人工晶状体(IOL)植入术是较常见的手术。眼外伤患者的晶状体后囊膜情况各异,主要包括后囊膜完整、部分缺损及全部缺如三类。当晶状体囊膜支撑力足够时,通常选择将IOL直接植入睫状沟中;当缺乏晶状体囊膜支撑时,可选择二期植入前房固定型IOL、虹膜固定型IOL或巩膜固定型IOL。不同的手术方式具有不同的优势与不足。(国际眼科纵览, 2018,  42:   323-328)

Abstract:

Surgical secondary artificial intraocular lens (IOL) implantation is a standard procedure in posttraumatic aphakia. The status of the posterior capsule may vary from intact to partially deficient or totally absent. If there is adequate capsular support, the preferred site for secondary implantation will be the ciliary sulcus; the options for the surgical correction of aphakia without capsular support include implantation of an anterior chamber intraocular lenses(ACIOLs), iris-fixated intraocular lenses(IFIOLs) and scleral-fixated intraocular lenses(SFIOLs). Each surgical treatment option has its set of advantages and disadvantages. (Int Rev Ophthalmol, 2018, 42:  323-328)