目的:评价人工晶状体睫状体沟缝线固定术在基层医院的临床疗效。方法:选取我院2001-01/2011-01采用后房型IOL睫状体沟缝线固定术68例68眼,其中"单襻固定法"7例7眼,"双襻固定法"61例61眼。结果:随访3～36(平均12)mo。复查矫正视力0.2～1.2,视力≥0.3者61眼(90%),视力偏低者多为角膜瘢痕或眼底病变所致,所有眼压均在正常范围内。结论:IOL睫状体沟缝线固定手术是一种矫正无后囊支持的无晶状体眼的有效、安全术式,远期效果需要进一步观察。

AIM:To assess the clinical effect of ciliary groove suture of posterior chamber intraocular lens(IOL) in primary level hospital.METHODS:From January 2001 to January 2011,68 cases(68 eyes)underwent ciliary groove suture with posterior chamber IOL,all acquired satisfying result.One edge of the lens was sutured to the ciliary groove in 7 cases(7 eyes),which was called "single-haptic fixation".The other 61 cases(61 eyes) were sutured the lens to ciliary groove in two sites,which was called "double-haptic fixation." RESULTS:Followed-up for 3-36(average 12) months,the best-corrected visual acuity(BCVA)was from 0.2 to 1.2 and 61 eyes(90%) were more than 0.3.The corneal scar and fundus oculi diseases resulted in poor vision.The intraocular pressure(IOP) in all eyes was normal.CONCLUSION:IOL suturing to the ciliary groove is an effective and safe method for correction of aphakia in eyes with inadequate posterior capsular support,the further observation is needed for long-term outcome.

R779.66