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中华眼科医学杂志(电子版) ›› 2024, Vol. 14 ›› Issue (02) : 108 -112. doi: 10.3877/cma.j.issn.2095-2007.2024.02.008

综述

缺乏囊膜支撑人工晶状体植入手术方法与术后并发症的研究进展
席佳星1, 袁志刚2,(), 谢国丽2   
  1. 1. 030001 太原,山西医科大学第一临床医学院2021级硕士研究生
    2. 030002 太原,山西省眼科医院日间医疗中心
  • 收稿日期:2024-03-23 出版日期:2024-04-28
  • 通信作者: 袁志刚
  • 基金资助:
    山西省卫生计生委科研项目(2015068)

Advances on the surgical methods for intraocular lens implantation without capsule support and its complication after surgery

Jiaxing Xi1, Zhigang Yuan2,(), Guoli Xie2   

  1. 1. Master′s degree 2021, The First Clinical Medical College of Shanxi Medical University, Taiyuan 030001, China
    2. Day Medical Center, Shanxi Eye Hospital, Taiyuan 030002, China
  • Received:2024-03-23 Published:2024-04-28
  • Corresponding author: Zhigang Yuan
引用本文:

席佳星, 袁志刚, 谢国丽. 缺乏囊膜支撑人工晶状体植入手术方法与术后并发症的研究进展[J]. 中华眼科医学杂志(电子版), 2024, 14(02): 108-112.

Jiaxing Xi, Zhigang Yuan, Guoli Xie. Advances on the surgical methods for intraocular lens implantation without capsule support and its complication after surgery[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2024, 14(02): 108-112.

眼外伤、晶状体脱位及原发性或继发性的悬韧带薄弱等眼部疾病会导致囊膜支撑不足,使囊袋内无法正常植入人工晶状体,此时需要行人工晶状体固定术。该手术方式有前房型人工晶状体植入术、虹膜固定型人工晶状体植入术及巩膜固定型人工晶状体植入术。术后并发症包括角膜失代偿、高眼压、继发性青光眼、黄斑囊样水肿及眼内出血等。本文中笔者结合各种术式的最新研究成果对缺乏囊膜支撑的各种人工晶状体植入术的适应证和术后并发症进行综述。

The eye diseases such as ocular trauma, lens dislocation, and primary or secondary weak suspensory ligaments, it is not possible to implant an artificial intraocular lens normally within the capsule. Based on this, intraocular lens fixation surgery becomes necessary. The surgical approaches include anterior chamber intraocular lens implantation, iris-fixated intraocular lens implantation, and scleral-fixated intraocular lens implantation. Postoperative complications include corneal decompensation, high intraocular pressure, secondary glaucoma, macular cystic edema, and intraocular bleeding. The current clinical applications and complication of various intraocular lens implantation surgeries without capsular support, combined with a review of the latest research findings for each surgical technique were reviewed in this paper.

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