Sputnik人工晶状体:摘除程序

Vytautas Jašinskas
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摘要

目的:探讨人工晶状体(IOL)植入术的适应证,并评价人工晶状体植入术对视力的影响。回顾性分析自1992年10月至1994年2月由一名外科医生施行的5例人工晶状体植入术。地点:考纳斯医学院。方法:反复人工晶状体固定/复位、人工晶状体植入术、角膜失代偿、穿透性角膜移植术(PKP)、术后最佳矫正视力。结果:2例患者术后出现初始角膜失代偿。术后1年供体角膜保持清晰,前房人工晶状体植入术位置稳定。最佳矫正视力0.02 ~ 0.4。结论:人工晶状体脱位时附加虹膜夹固定的定位价值不大。在脱位的情况下,建议早期摘除虹膜夹人工晶状体。
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Sputnik Intraocular Lenses: Explantation Procedure

Objective: To determine indications for intraocular lens (IOL) explantation and to assess the influence of this procedure on the definite visual outcome. Retrospective analysis of 5 IOL explantations was performed from October 1992 to February 1994 by one surgeon. Setting: Kaunas Medical Academy. Methods: Repeated IOL fixation/repositioning, IOL explantation/reimplantation, corneal decompensation, penetrating keratoplasty (PKP), best corrected post-operative visual acuity. Results: Initial corneal decompensation occurred after surgical reintervention in two cases. Donor cornea 1 year after PKP remained clear, location of reimplanted anterior chamber IOL in all cases was stable. Best corrected visual acuity was 0.02–0.4. Conclusions: Positioning of additional iris-clips IOL fixation in cases of dislocation is of small value. Early iris-clips IOL removal is recommended in cases of dislocation.

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Subject Index Author Index Editorial Scleral Fixation Re-examined by Ultrasound Biomicroscopy Corneal Topography using a New Moiré Image-based System
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