后房型人工晶体植人术的临床观察

Clinical observation of posterior chamber intraocular lens after implantation

  • 摘要: 我们对接受后房型人工晶体植入的57例62眼进行了术后临床观察。随访37眼视力1.0以上者62.16%,0.5以上者91.89%,术后并发症共计16眼,包括后囊混浊,虹膜周边部丝状前粘连、前房出血、人工晶体半脱位、闭角型青光眼急性发作。初步讨论了并发症的原因及预防和治疗。

     

    Abstract: In 57 cases (62 eyes) of extracapsular cataract extraction with posterior chamber intraocular lens implantaion have been performed from February 1987 to March 1989, 37 eyes being followed up for 2 to 19 months. A corrected visual acuity of 1.0 or better was achieved in 23 eyes (62.16%) and and that of 0.5 or better in 34 (91.89%). Postoperative intraocular pressure of 28 followed-up eyes changed within the range of normal value, with out statistical significance(P 0.05). Postoperative corneal curvature findings were followed up in 28 eyes showing that the vertival curvature tended to increase (accounted 78.57%) while horizontal curvature tended to decrease (accounted for 92.86%). Few postoprative complications in this group of patients such as opacification of the posterior capsule (11.29%), a peripheral filariform anterior synechia (4.84%), dislocation of IOL (3.23%) and hyphema (4.84%) were found. A few of causes and the management of postoperative complication were discussed.

     

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