国际眼科纵览 ›› 2021, Vol. 45 ›› Issue (6): 523-529.doi: 10.3760/cma.j.issn.1673-5803.2021.06.011

• 综述 • 上一篇    下一篇

晶状体脱位的手术治疗

王珏雪  万修华   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科研究所 眼科学与视觉科学北京市重点实验室 100730

  • 收稿日期:2021-02-27 出版日期:2021-12-22 发布日期:2021-12-22
  • 通讯作者: 万修华,Email:xiuhuawan@163.com
  • 基金资助:

    北京市医院管理中心临床医学发展专项(XMLX202133);北京市科技计划课题(Z191100002019013)

     

Surgical treatment of lens dislocation

Wang Juexue, Wan Xiuhua   

  1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing 100730, China

  • Received:2021-02-27 Online:2021-12-22 Published:2021-12-22
  • Contact: Wan Xiuhua, Email: xiuhuawan@163.com
  • Supported by:
    Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support(XMLX202133); Beijing Science and Technology Project(Z191100002019013)

摘要: 晶状体脱位根据脱位程度和并发症严重程度选择不同的治疗方法。向后脱入玻璃体可以配戴隐形眼镜保守治疗;若并发青光眼、持续性葡萄膜炎或角膜损伤,需进行紧急手术干预。脱位范围<180°可选择超声乳化晶状体摘除联合人工晶状体植入术;如悬韧带受损严重可联合张力环植入术。人工晶状体固定方式分为缝线固定和无缝线固定,可固定于虹膜或巩膜,也可通过囊袋支持装置固定。 (国际眼科纵览,2021, 45:523-529)

关键词: 晶状体脱位/外科学, 囊袋张力环, 人工晶状体

Abstract: Lens dislocation can be treated differently depending on its severity and complications. Lens luxation back to vitreous body can be treated conservatively with contact lenses, and if glaucoma, persistent uveitis, or corneal injury occurs, emergency surgical intervention is required. Phacoemulsification combined with intraocular lens(IOL) implantation can be selected for a small dislocation range(<180°), and tension ring implantation can be combined for severe zonule damage. The IOL can be fixed to the iris or sclera with or without suture, or with capsular support devices.(Int Rev Ophthalmol, 2021, 45: 523-529)


Key words: lens luxation/surgery, capsular tension ring, intraocular lens