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[摘要]
目的：探讨后房型人工晶状体固定术中影响人工晶状体居中性、稳定性的因素及减少并发症的手术技巧。
方法：对31例31眼患者行软性人工晶状体睫状沟固定术治疗，通过术前或术中行水平位标记、烧灼法定位切口穿刺点、缝线固定等标准化方式定位人工晶状体，使晶状体光学面居中稳定。
结果：随访12～24(平均18)wk，最佳矫正视力0.5以上者达26例(26/31，84%)，全部人工晶状体位置居中稳定，有效地矫正了术眼的屈光状态，且术中术后无明显并发症。
结论：标准化手术流程下软性人工晶状体睫状沟固定术在小切口状态下完成，能充分矫正无晶状体眼的屈光状态，而且尽可能地避免了多种并发症。
[Key word]
[Abstract]
AIM: To investigate the operation skills of keeping the intraocular lens centering and stabilizing and decreasing the complications in ciliary groove suture of posterior chamber intraocular lens.
METHODS: Totally 31 cases(31 eyes)undergone ciliary groove suture fixation with posterior chamber type of soft intraocular lens, fixing the position of the lens' optical surface stably in the middle by horizontal marking before or during the operations, locating and burning the puncture point, fixating with the suture and other standardizing operational procedure.
RESULTS: The best corrected visual acuity(BCVA)of 26(26/31, 84%)eyes' vision were more than 0.5 after following up of 12-24 weeks(average 18 weeks). All lens were kept centering and stabilizing, all eyes' refraction were corrected, and all had on complications during and after operations.
CONCLUSION: Ciliary groove suture with soft intraocular lens using small incision and standardizing operational procedure could perfectly correct the aphakia refraction and showed no special complications.
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