人工晶体囊袋复合体脱位的手术体会

The Surgery Experience of Fixating the IOL-Capsular Bag Complex

摘要: 目的：探讨人工晶体囊袋复合体完全脱位入玻璃体腔后的手术治疗方法。方法：2009年3月份至2015年10月份就诊于我院的人工晶体囊带复合体完全脱入玻璃体腔内的患者12例，经前部或后部玻璃体切割，人工晶体由玻璃体腔调整进入瞳孔区，采用经巩膜缝线固定术将人工晶体直接固定于睫状沟。结果：12例接受治疗的患者效果满意，人工晶体全部成功固定于睫状体沟，术中无严重并发症发生，术后视力均达到或超过术前最佳矫正视力，术后随访3个月至3年，人工晶体位正，无明显并发症。结论：白内障术后人工晶状囊袋复合体脱位坠入玻璃体腔内，应用前部或后部玻璃体切割联合经巩膜缝线固定的手术方式是一种较好的手术方式。

Abstract: Objective: To describe a method of fixating the IOL-capsular bag complex which dislocated entirely vitreous cavity. Methods: A retrospective study of 12 patients from March 2009 to October 2015 in our hospital after cataract surgery whose IOL-capsular bag complex dislocated entirely into the vit-reous cavity. Our treatment was as follows: Through the front or rear vitrectomy, we adjusted the IOL-capsular bag complex into the pupil and fixed the IOL-capsular bag complex directly to the cili-ary sulcus. Result: All 12 patients are satisfied with the therapeutic effect. The IOL-capsular bag complex was fixed in the ciliary sulcus successfully. There is no significant complication, and visual acuity reached or exceeded preoperative best corrected visual acuity after 1 week. We followed up for 3 months to 3 years, there is no IOL dislocation and no postoperative complication. Conclusion: After cataract surgery, if the IOL-capsular bag complex dislocated entirely vitreous cavity, applying the front or rear vitrectomy combined with scleral fixated surgical approach is a good surgery.