目的：观察巩膜隧道法人工晶状体(IOL)睫状沟缝线固定术的临床效果。

方法：回顾性分析2021-05/2023-09在我院进行巩膜隧道法IOL睫状沟缝线固定术患者36例38眼的临床资料，术后随访3-26 mo。观察患者术后IOL位置、视力、验光、眼压及并发症情况，评估泪膜破裂时间(BUT)、角膜荧光素钠染色(FL)及基础泪液分泌试验(SⅠt )结果。

结果：所有术眼在术后3 mo裸眼视力及最佳矫正视力均较术前改善(均P<0.01)。比较术前，术后1、3 mo的眼表状态数据，BUT及FL评分均有差异(均P<0.05)。术后裂隙灯检查IOL位正，未发生线结暴露情况。

结论：巩膜隧道法人工晶状体睫状沟缝线固定术是一种安全、高效、微创的手术方法。

METHODS: The clinical data of 36 patients(38 eyes)who underwent ciliary sulcus suture fixation of IOL with the scleral tunnel technique in our hospital from May 2021 to September 2023 were retrospectively analyzed. The patients were followed up for a total of 3-26 mo. The postoperative IOL position, visual acuity, refraction, intraocular pressure and complications were observed, and the results of tear film break-up time(BUT), corneal fluorescein staining(FL)and Schirmer Ⅰ test(SⅠt )were evaluated.

RESULTS: The uncorrected visual acuity and best corrected visual acuity of all eyes were improved at 3 mo after surgery(all P<0.01). The differences of BUT and FL score before operation, and at 1 and 3 mo after operation were statistically significant(all P<0.05). Postoperative slit lamp examination showed the IOL of all eyes remained well positioned, and no suture erosion was observed.

CONCLUSION: Ciliary sulcus suture fixation of IOL with the scleral tunnel technique is a safe, efficient, and minimally invasive procedure.