目的:观察探讨人工晶状体囊袋内缝线睫状沟固定术的临床应用、手术方法及效果。方法:对19例19眼伴晶状体不全脱位和4例4眼超声乳化术或手法小切口囊外摘除术中误吸囊袋或其他操作致局限性悬韧带离断的白内障患者(悬韧带离断≥3个钟点位～≤6个钟点位14眼,>6个钟点位～≤9个钟点位者9眼),行计划性或术中一期人工晶状体囊袋内缝线睫状沟固定术。结果:所有患者经过6～36mo的随访,视力稳定;人工晶状体位置:正常者17眼,轻度倾斜者2眼,偏中心者4眼,瞳孔不圆者4眼,患者均无不良主诉;4眼后囊膜轻度混浊,未做处理;无固定缝线松解脱落及囊袋皱缩发生。结论:人工晶状体囊袋内缝线睫状沟固定术对伴有晶状体不全脱位、悬韧带形态异常、功能缺陷的白内障病例,临床效果好,费用低,可替代人工囊袋内张力环。

·AIM:To investigate the clinic result of ciliary sulcus fixation of intraocular lens in capsular bag.·METHODS:Nineteen patients 19 eyes with partially dislocated lens and 4 patients 4 eyes with inadvertent damage and zonular mutilation to the posterior capsule during extracapsular cataract extraction or phacoemulsifi-cation underwent ciliary sulcus fixation of intraocular lens in capsular bag.·RESULTS:At both the 6-and 36-month follow-up visits,there was no increased risk of progression in the evalua-tion group.17 eyes had normal position,all cases were without suture brisement,ablating or postoperative capsular bag shrinkage.·CONCLUSION:The treatment of subluxation of lens,abnormal zonular and defective cataract by ciliary sulcus fixation of intraocular lens in capsular bag can ensure the success outcomes,with good clinical result and low expense,it can replace capsule tension ring.·

R779.66