目的:探讨在眼内窥镜直视下无玻璃体无晶状体眼二期后房型人工晶状体缝线固定术的可行性及临床疗效。方法:对8例无玻璃体无晶状体眼在眼内窥镜指导下行人工晶状体缝线固定术,6例常规组作为对照,观察比较术后视力、散光、人工晶状体位置及其并发症等情况。结果:所有14例患者手术均顺利进行,内窥镜组8例术后所有人工晶状体位置正,UBM检查示所有16个人工晶状体襻全部位于睫状沟内,而对照组有3个人工晶状体襻位于睫状沟外,差异有统计学意义(P=0.034)。内窥镜组术后增加的散光度数较对照组小(P=0.042)。术后视力均好于术前。结论:眼内窥镜下可使术者直视下完成后房型人工晶状体缝线固定术并将人工晶状体准确固定于睫状沟内。

AIM:To evaluate the surgical results of secondary sutured posterior chamber intraocular lens(IOL) assisted with endoscope for non-vitreous and aphakic eyes.METHODS:Eight cases were performed suture fixation of IOL with the assistant of endoscope,6 cases of routine patients were performed as control.The postoperative visual acuity,astigmatism,position of IOL and complications were observed.RESULTS:There were no complications with the 8 cases after the operation.And the position of IOL were all in ciliary sulcus.CONCLUSION:Endoscope could provide the direct view in the surgeries of transscleral sulcus fixation of sutured posterior chamber intraocular lens.

R779.66