目的:探讨晶状体玻璃体切除术后无晶状体眼二期人工晶状体缝线固定术的手术方法及疗效。方法:对26例26眼因为眼外伤原因行玻璃体切除术患者行后房型人工晶状体睫状沟缝线固定术,术后随访3～24mo。结果:术后最佳矫正视力＞0.5者7眼,0.3～0.5者11眼,0.1～0.3者8眼。有2眼晶状体面轻度倾斜,1眼经手术调整；发生眼内出血3例,经治疗20d内吸收。术后有5例眼压升高,3例给予相应对症处理后控制,1例长期应用药物后眼压稳定。术后4例眼压较低,均于1wk内恢复。结论:晶状体玻璃体切除术后二期人工晶状体睫状沟缝线固定术,手术疗效确切,术后并发症少,是治疗晶状体玻璃体切除术后无晶状体眼屈光矫正的理想手术方法。

AIM:To discuss the methods and skills of secondary operation of intraocular lens(IOL) suture fixation after lensectomy-vitrectomy. METHODS:IOLs were implanted into 26 cases(26 eyes) after lensectomy-vitrectomy fixed in the ciliary grooves. The suture line was fixed on the sclera. The clinical curative effect and the complications were observed 3 to 24 months after operation. RESULTS:Seven cases had postoperative best-corrected visual acuity of＞0.5, 11 eyes were between 03 and 0.5, 8 eyes were between 0.1 and 0.3. Light IOL tilt was happened in 2 eyes, and 1 eye was corrected by operation. Intraocular hemorrhage was happened in 3 cases, hemorrhage was absorbed during 20 days. The intraocular hypertension was happened in 5 cases, 3 cases were controlled simply by corresponding treatment, 1 case was controlled by long-term drugs,1 case was controlled by implanting drain valve. Intraocular hypotension was happened in 4 cases, but all were controlled by corresponding treatment within 1 week.CONCLUSION:IOL implantation after lensectomy-vitrectomy was effective and responsible, the complications are fewer, which is an ideal method towards this kind of disease.