摘要： 目的 评价Gore-Tex缝线四点式人工晶状体睫状沟固定术的临床疗效和安全性。方法 回顾性分析行人工晶状体睫状沟缝线固定术的患者29例(30眼),其中20例(20眼)采用传统聚丙烯缝线人工晶状体睫状沟缝线固定术(对照组),9例(10眼)行Gore-Tex缝线四点式人工晶状体睫状沟缝线固定术(四点式组)。对术后裸眼视力、验光值、裂隙灯检查及眼压结果等进行统计分析,随访时间为12个月。结果 四点式组于术后1个月开始裸眼视力明显提高(P<0.05),对照组于术后3个月开始裸眼视力明显提高(P<0.05)。术后1、3、6、12个月时,四点式组较术前裸眼视力提高量均优于对照组(P<0.05)。术后1周和1、3、6、12个月时,四点式组眼内残余散光值均小于对照组(P<0.05)。2组均未出现严重的眼部并发症。结论 Gore-Tex缝线四点式人工晶状体睫状沟固定术通过四点固定,使术后人工晶状体不易发生旋转和偏斜,显著降低术后眼内残余散光,更早改善术后裸眼视力,手术安全有效。

Gore-Tex缝线四点式人工晶状体睫状沟固定术的临床疗效

李军, 谷峰, 刘哲丽, 宁宏, 孙鹏

中国医科大学附属第一医院眼科, 沈阳 110001

收稿日期:2021-12-13出版日期:2022-07-30发布日期:2022-06-27
通讯作者:孙鹏E-mail:pengsun.cmu@hotmail.com
作者简介:李军(1987-),女,医师,硕士.
基金资助:国家重点研发计划社发领域重点专项(2020JH1/10300002)


关键词: Gore-Tex缝线, 后房型人工晶状体, 晶状体植入, 睫状沟
Abstract: Objective To evaluate the efficacy and safety of four-port posterior chamber intraocular lens (IOL) sulcus fixation using Gore-Tex suture. Methods We retrospectively analyzed 29 patients (30 eyes) who underwent IOL sulcus fixation. Among them,20 patients (20 eyes) underwent the traditional surgery (control group) and 9 patients (10 eyes) underwent IOL sulcus fixation using Gore-Tex suture (four-port group). Data on the uncorrected visual acuity (UCVA),IOL position,intraocular pressure,and refractory status during the 12 months after the operation were collected and statistically analyzed. Results UCVA improvement started at 1 month after the operation in the four-port group (P=0.011) and at 3 months after the operation in the control group (P=0.038). At the 1-,3-,6-,and 12-month follow-up,the improvement of postoperative UCVA was better in the four-port group than in the control group (P< 0.05). At 1 week and 1,3, 6,and 12 months after the operation,residual astigmatism was lower in the four-port group than in the control group (P< 0.05). No severe ocular complications occurred in both groups. Conclusion IOL sulcus fixation using Gore-Tex suture may reduce postoperative residual astigmatism and improve UCVA due to less IOL misalignment.
Key words: Gore-Tex suture, posterior chamber intraocular lens, lens implantation, sulcus
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