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目的探讨由角膜缘切口对无后囊膜无晶体眼行折叠人工晶体缝线悬吊术的临床疗效。方法对44例(44只眼)无晶体患者用英国RAYNER公司620H折叠式人工晶体,对无后囊膜或后囊膜不足以支撑人工晶体的患者行折叠人工晶体悬吊术,观察其术中、术后并发症及术后视力情况。结果术中1只眼出现脉络膜上腔少量出血。术后3只眼发生脉络膜脱离,2只眼眼压升高。术后第1天的裸眼视力0.3以上者占43.18%,术后1周、1个月、3个月裸眼视力0.3以上者分别占63.63%,88.63%和95.46%。结论折叠人工晶体缝线悬吊术是治疗后囊膜无晶体眼的一种较好的选择。
Objective To investigate the clinical effect of limbal incision on the sutureless intraocular lens (IOL) suture suspension without posterior capsule lens. Methods Forty-four patients (44 eyes) with aphakia were examined by foldable intraocular lens (IOL) suspension using a 620H foldable intraocular lens (RAYNER Company, England) in patients without posterior capsular or posterior capsular insufficiency to support intraocular lens , Postoperative complications and postoperative visual acuity. Results A small amount of bleeding in the suprachoroidal space occurred in 1 eye. Choroidal detachment occurred in 3 eyes and elevated intraocular pressure in 2 eyes. The uncorrected visual acuity of 0.3 or more on the first day after operation was 43.18%. The naked eye visual acuity of 0.3 or more at 1 week, 1 month and 3 months after operation was 63.63%, 88.63% and 95.46% respectively. Conclusion Folding intraocular lens suture suspension is a better choice for the treatment of posterior capsular aphakia.