摘要目的 评价29 G针头引导的无缝线折叠人工晶状体巩膜层间固定术治疗玻切术后无晶状体眼的临床效果.方法 玻璃体切除术后的外伤眼及晶状体或人工晶状体脱位行玻璃体切除10眼,采用29G针头引导辅助的三片式折叠IOL无缝线巩膜层间固定术,根据不同情况联合其他手术.对术后视力、眼压、IOL位置及手术并发症进行评估.结果 10眼术后视力均不同程度的提高;仅1眼术后早期低眼压,其余9眼眼压均正常;术后8眼人工晶状体位置居中,2眼轻度倾斜或偏位;10眼随访期内均无严重并发症.结论 29 G针头引导的人工晶状体无缝线巩膜层间固定术可以作为无晶状体眼人工晶状体植入的一种新选择,且更加微创、并发症少,安全有效.

abstractsObjective To evaluate the clinical efficacy of sutureless intrascleral fixation with folded intraocular lens(IOL) guided with 29-gauge needles for aphakic eyes after vitrectomy.Methods Ten eyes without posterior capsule induced by trauma or IOL luxation after vitrectomy,were treated with sutureless intrascleral fixation with folded three-pieces IOL guided with 29-gauge needles.Some cases received combined surgeries according to the different cases.The visual acuity,intraocular pressure,IOL position and complications after surgery were observed and estimated.Results The visual acuity after surgery were improved in different degree.Nine cases had normal intraocular pressure except 1 eye with low intraocular pressure in the early postoperative.The position of IOL was in the middle in 8 eyes after surgery.The IOL decentration and tilt occurred in 2 eyes.No severe complication occurred during the follow-up.Conclusion Sutureless intrascleral fixation with IOL guided with 29-gauge needles for aphakic eyes is a new method,which is safe,effective,more minimally invasive and less complications.