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5.5mm透明角膜切口实验研究
作者:张舒 张晓俊 袁鹂 
单位:南京医科大学第二附属医院眼科,江苏南京,210011
关键词:角膜切口 角膜曲率  
分类号:R779.62, R-332
出版年·卷·期(页码):2003·22·第三期(160-162)
摘要:

目的:探讨兔眼能植入直径为5.5mmPMMA人工晶体的透明角膜无缝线切口的可行性.方法:将60只兔眼分为A、B、C3组.A、B两组均行5.5mm长透明角膜切口,A组直接穿刺进前房,B组隧道宽2mm;C组行3.2mm长角膜穿刺切口作为对照.3组切口均不缝合.结果:3组切口均具有良好的自闭性,A组术后2周垂直轴向角膜曲率与术前及C组术后比较差异均有显著性(均为P<0.05);角膜曲率B组术后与C组比较,B组、C组术后与术前比较,差异均无显著性(P>0.05);A组切口引起的前房反应最重,B组其次.结论:5.5mm长、隧道宽2mm透明角膜切口不仅具有良好的自闭性,且对角膜曲率影响较小,通过该切口植入PMMA人工晶体具有可行性.

Objective  To explore the feasibility of 5.5?mm long clear corneal incisions,through which PMMA (unfoldable) IOLs could be implanted.Methods  60 rabbit eyes were divided into three groups.5.5?mm long superior sutureless clear corneal paracentesis was performed on eyes of group A and tunnel incision with a width of 2 mm was done on eyes of group B.In group C (as the control group),all eyes were treated with 3.2?mm clear corneal paracentesis.Results  Two weeks after the surgery, incisions of all eyes in three groups were favorably self  sealing.And there is significant difference between preoperative and postoperative vertical astigmatism value of group A,so is postoperative astigmatism value of group A and that of group C.There is no significant difference between preoperative and postoperative vertical astigmatism value of group B,neither is in group C,and the same is true between postoperative value of group B and that of group C.Also,the inflammatory reactions of anterior chamber were more severe in group A than in group B observed by the slit  lamp.Conclusions  All the three methods of clear corneal incision are easy to use and the incision is reliably self  sealing.The incisions in group B have less influence in curvature of the corneal than that in group A.The experiment suggests that the 5.5?mm clear corneal incision is a possible and ideal approach,through which unfoldable IOLs could be implanted.

参考文献:

[1] MALONEY W F. Efficiency par excellence:clear corneal incisions using paracentesis pardigm, 1998
[2] SPIRITUS A, HUYGENS M, CALLEBANT F. Topical anesthesia without intracameral lidocaine in cataract surgery, 2000
[3] 郭海科, 黄立梅, 郑阿宁. 透明角膜切口超声乳化折叠人工晶状体植入术138例分析. 眼科研究2000(2)
[4] GOES F M Jr, GOES F J. Astigmatic changes after sutureless small-incisions cataract-surgery using a superior or temporal corneal incision, 1998
[5] Yoshida S, OBARA Y, NISHIO M. Clinical rescclts of three types of intraocular lenses for small incision surgery, 1998 

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