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中华眼科医学杂志(电子版) ›› 2023, Vol. 13 ›› Issue (05) : 257 -262. doi: 10.3877/cma.j.issn.2095-2007.2023.05.001

述评

重视无囊膜支撑眼人工晶状体植入手术方式的选择及并发症的防范
崔莹, 方雨新, 周丹()   
  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室
  • 收稿日期:2023-05-03 出版日期:2023-10-28
  • 通信作者: 周丹
  • 基金资助:
    国家自然科学基金青年科学基金项目(82301210)

Pay attention to the choice of surgical technique and prevention of complications in intraocular lens implantation in the absence of capsular support

Ying Cui, Yuxin Fang, Dan Zhou()   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab., Beijing 100730, China
  • Received:2023-05-03 Published:2023-10-28
  • Corresponding author: Dan Zhou
引用本文:

崔莹, 方雨新, 周丹. 重视无囊膜支撑眼人工晶状体植入手术方式的选择及并发症的防范[J/OL]. 中华眼科医学杂志(电子版), 2023, 13(05): 257-262.

Ying Cui, Yuxin Fang, Dan Zhou. Pay attention to the choice of surgical technique and prevention of complications in intraocular lens implantation in the absence of capsular support[J/OL]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2023, 13(05): 257-262.

无囊膜支撑人工晶状体植入技术是人工晶状体脱位、严重晶状体脱位以及无晶状体眼患者恢复视觉功能的有效手段。手术方式包括前房型人工晶状体植入、虹膜固定型人工晶状体植入、人工晶状体巩膜缝线固定术以及人工晶状体巩膜层间固定术。每种手术方式自问世以来都经历了不断的改良和发展,有着各自的优缺点,也有不同的适应证和禁忌证。本文中笔者将对无囊膜支撑人工晶状体植入技术的演变、针对临床不同情况手术方式的选择以及常见并发症的防范进行述评。

For patients with intraocular lens dislocation, severe lens dislocation and aphakic eye, intraocular lens implantation technique in the absence of capsular support is an efficient way to restore visual function. The surgical techniques includes anterior chamber intraocular lens implantation, iris-fixated intraocular lens implantation, sutured transscleral intraocular lens fixation and sutureless intrascleral haptic fixation. Each technique has been improved since its commencement. Each technique has its advantages and disadvantages and has different indications and contraindications, which has respective advantage and disadvantages and different the indications and contraindications. In this paper, the evolution of intraocular lens implantation technique in the absence of capsular support, the selection of surgical methods for different clinical situations, and the prevention of common complications were reviewed.

表1 缝线相关参数
表2 针头相关参数
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