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目的通过对人工晶体植入术后取出病例原因分析,探讨人工晶体植入手术适应症的选择以及并发症的防治。方法回顾我科1999年1月~2004年5月37例(37眼)人工晶体取出病例并进行临床分析。结果37例人工晶体取出病例中,视网膜脱离15眼,人工晶体脱位10眼,大泡性角膜病变4眼,继发性青光眼3眼,人工晶体度数错误2眼,眼内炎3眼。其中人工晶体脱位行缝线固定术后视力恢复0.1~0.2有5眼,0.3~0.5有5眼;人工晶体度数错误置换人工晶体后视力恢复0.4和0.7;视网膜脱离、继发性青光眼人工晶体取出术后无晶体眼视力为光感、手动或数指,矫正视力最好0.1,复查时视网膜复位,眼压正常;大泡性角膜病变人工晶体取出术后矫正视力0.1~0.3。眼内炎人工晶体取出术后矫正视力为0.1~0.3。结论人工晶体植入术后严重的并发症是导致人工晶体取出的直接原因。减少人工晶体植入手术的并发症可有效避免术后的人工晶体取出,使患者无晶体眼得到较好的屈光矫正。
Objective To analyze the causes of intraocular lens implantation and investigate the choice of surgical indications for intraocular lens implantation and the prevention and treatment of complications. Methods From January 1999 to May 2004, 37 cases (37 eyes) of intraocular lens were removed from our department for clinical analysis. Results Among the 37 patients with intraocular lens removal, there were 15 eyes with retinal detachment, 10 eyes with intraocular lens dislocation, 4 eyes with bullous keratopathy, 3 eyes with secondary glaucoma, 2 eyes with intraocular lens error and 3 eyes with endophthalmitis. The intraocular lens dislocation suture fixation of visual acuity 0.1 ~ 0.2 in 5 eyes, 0.3 ~ 0.5 in 5 eyes; intraocular lens error after replacement of intraocular lens visual acuity recovered 0.4 and 0.7; retinal detachment, removal of secondary glaucoma intraocular lens Postoperative aphakia visual acuity light perception, manual or digital means, the best corrected visual acuity 0.1, retina during retina reset, intraocular pressure normal; bullous keratopathy intraocular lens removed after correction of visual acuity 0.1 ~ 0.3. Endophthalmitis artificial lens removed after correction of visual acuity 0.1 ~ 0.3. Conclusion Severe complications after IOL implantation are the direct causes of IOL extraction. Reduce the complications of intraocular lens implantation surgery can effectively prevent the extraction of intraocular lens after surgery, so that patients with aphakia get better refractive correction.