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                  [1]俞永珍,彭亮紅,張春麗,等.眼內窺鏡輔助下硅油取出聯合人工晶狀體懸吊術的臨床觀察[J].眼科新進展,2023,43(7):547-552.[doi:10.13389/j.cnki.rao.2023.0110]
                   YU Yongzhen,PENG Lianghong,ZHANG Chunli,et al.Clinical observation of silicone oil removal combined with sulcus suturing of intraocular lenses assisted by endoscopy[J].Recent Advances in Ophthalmology,2023,43(7):547-552.[doi:10.13389/j.cnki.rao.2023.0110]
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                  眼內窺鏡輔助下硅油取出聯合人工晶狀體懸吊術的臨床觀察/HTML
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                  《眼科新進展》[ISSN:1003-5141/CN:41-1105/R]

                  卷:
                  43卷
                  期數:
                  2023年7期
                  頁碼:
                  547-552
                  欄目:
                  應用研究
                  出版日期:
                  2023-07-05

                  文章信息/Info

                  Title:
                  Clinical observation of silicone oil removal combined with sulcus suturing of intraocular lenses assisted by endoscopy
                  作者:
                  俞永珍彭亮紅張春麗陳京霞鄒秀蘭張楚周文杰章夢一余洋洋程天豪鄒玉平
                  510010 廣東省廣州市,中國人民解放軍南部戰區總醫院眼科(俞永珍,彭亮紅,張春麗,陳京霞,鄒秀蘭,張楚,周文杰,鄒玉平);510405 廣東省廣州市,廣州中醫藥大學(俞永珍,程天豪,鄒玉平);510515 廣東省廣州市,南方醫科大學第一臨床醫學院(章夢一,余洋洋,鄒玉平)
                  Author(s):
                  YU Yongzhen12PENG Lianghong1ZHANG Chunli1CHEN Jingxia1ZOU Xiulan1ZHANG Chu1ZHOU Wenjie1ZHANG Mengyi3YU Yangyang3CHENG Tianhao2ZOU Yuping123
                  1.Department of Ophthalmology,General Hospital of Southern Theatre Command,Guangzhou 510010,Guangdong Province,China
                  2.University of Traditional Chinese Medicine,Guangzhou 510405,Guangdong Province,China
                  3.The First School of Clinical Medicine,Southern Medical University,Guangzhou 510515,Guangdong Province,China
                  關鍵詞:
                  內窺鏡硅油取出術人工晶狀體懸吊術人工晶狀體傾斜度人工晶狀體偏心量
                  Keywords:
                  endoscopy silicone oil removal sulcus suturing of intraocular lens tilt of intraocular lens decentration of intraocular lens
                  分類號:
                  R779.6
                  DOI:
                  10.13389/j.cnki.rao.2023.0110
                  文獻標志碼:
                  A
                  摘要:
                  目的 評價眼內窺鏡輔助下硅油取出聯合人工晶狀體(IOL)懸吊術的安全性與療效。
                  方法 將2018年6月至2022年5月在中國人民解放軍南部戰區總醫院眼科行眼內窺鏡輔助下硅油取出聯合IOL懸吊術的32例(32眼)晶狀體囊膜不完整的硅油填充眼納入研究。記錄手術時間,觀察術前及術后1 d、1個月、6個月、12個月最佳矯正視力(BCVA)、眼壓、角膜內皮細胞密度、角膜內皮細胞面積變異系數、六邊形細胞比例和角膜內皮細胞數的變化,觀察并記錄術后IOL位置,同時記錄術中、術后并發癥情況。
                  結果 術中硅油取出的時間為15.8~45.2(21.3±7.5)min,IOL懸吊手術的時間為16.7~33.6(22.3±6.8)min,聯合手術的總時間為29.8~53.2(34.7±8.8)min。術前BCVA(logMAR)為1.913±0.854,術后1 d、1個月、6個月、12個月的BCVA(logMAR)分別為1.319±0.790、0.934±0.610、1.003±0.710、0.963±0.689,與術前相比,術后1個月、6個月及12個月患者BCVA均顯著提高(均為P<0.05)。術后不同時間患者眼壓與術前比較,差異均無統計學意義(均為P>0.05)。術后不同時間角膜內皮細胞密度、角膜內皮細胞面積變異系數、六邊形細胞比例和角膜內皮細胞數與術前比較,差異均無統計學意義(均為P>0.05)。術后1 d、1個月、6個月、12個月所有患者IOL的傾斜度波動于3°~5°,IOL的偏心量波動于0.25~0.32 mm,懸吊的IOL均無明顯傾斜且位置居中。隨訪期內,視網膜脫離復發1眼(3.1%),均未見硅油殘留和持續性角膜水腫發生。
                  結論 眼內窺鏡輔助下硅油取出聯合IOL懸吊術是治療晶狀體囊膜不完整的硅油填充眼安全有效的方法。
                  Abstract:
                  Objective To evaluate the safety and effect of endoscopy-assisted silicone oil removal combined with sulcus suturing of intraocular lens (IOL).
                  Methods A retrospective study was performed on 32 patients (32 eyes with silicone oil for damaged lens capsule) who underwent endoscopy-assisted silicone oil removal combined with sulcus suturing of IOLs in the Ophthalmology Department of PLA Southern Theater Command General Hospital from June 2018 to May 2022.The operation time was recorded.The best corrected visual acuity (BCVA),intraocular pressure (IOP),corneal endothelial cell (CEC) density,coefficient of variation (CV) of CEC area,percentage of hexagonal cells,and the number of CEC were measured pre-operation,1 day,1 month,6 months,and 12 months post-operation.The location of IOL after the operation was recorded,as well as the intraoperative and postoperative complications.
                  Results The average operation time of silicone oil removal was (21.3±7.5) min (15.8-45.2 min),the average operation time of sulcus suturing of IOL was (22.3±6.8) min (16.7-33.6 min),and the average total operation time of the combined surgery was (34.7±8.8) min (29.8-53.2 min).The mean BCVA (logMAR) was 1.913±0.854,1.319±0.790,0.934±0.610,1.003±0.710,and 0.963±0.689 pre-operation,1 day,1 month,6 months,and 12 months post-operation,respectively,showing BCVA improved significantly at 1 month,6 months,and 12 months after surgery compared with the preoperative condition (all P<0.05).The IOP,CEC density,CV of CEC area,percentage of hexagonal cells,and the number of CEC post-operation had no significant differences compared with those pre-operation (all P>0.05).The IOL in all patients tilted from 3° to 5° and decentered from 0.25 mm to 0.32 mm at 1 day,1 month,6 months,and 12 months post-operation,while the sutured IOL showed no significant tilt or decentration.During the follow-up,retinal detachment relapsed in 1 eye (3.1%),while no silicone oil remnant or persistent corneal edema was found.
                  Conclusion Endoscopy-assisted silicone oil removal combined with sulcus suturing of IOL is safe and effective.

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                  相似文獻/References:

                  [1]張楚 鄒玉平 鄒秀蘭 徐哲 王泳.內窺鏡引導玻璃體視網膜手術治療伴有角膜混濁的外傷性視網膜脫離[J].眼科新進展,2012,32(6):000.
                  [2]王向華 李秋明.硅油取出聯合人工晶狀體懸吊術的臨床觀察[J].眼科新進展,2013,33(12):000.
                  [3]張運江,俞方良,劉淼,等.兔眼內窺鏡下睫狀體光凝聯合白內障超聲乳化手術對房水成分的影響[J].眼科新進展,2014,34(10):918.[doi:10.13389/j.cnki.rao.2014.0254]
                  [4]陳京霞,鄒秀蘭,陳軒閣,等.內窺鏡下睫狀體冷凝術與睫狀體光凝術對難治性青光眼患者的治療效果對比[J].眼科新進展,2020,40(10):942.[doi:10.13389/j.cnki.rao.2020.0212]
                   CHEN Jingxia,ZOU Xiulan,CHEN Xuange,et al.Endoscopic cyclocryotherapy versus endoscopic cyclophotocoagulation in the treatment of refractory glaucoma[J].Recent Advances in Ophthalmology,2020,40(7):942.[doi:10.13389/j.cnki.rao.2020.0212]

                  備注/Memo

                  備注/Memo:
                  廣東省自然科學基金項目(編號:2019A1515011732);廣州市科技計劃項目(編號:202002030413)
                  更新日期/Last Update: 2023-07-05
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