国际眼科纵览2024,Vol.48Issue(1) :41-45.DOI:10.3760/cma.j.issn.1673-5803.2024.01.008

先天性虹膜脉络膜缺损合并白内障的围手术期风险评估及术中并发症处理

Perioperative risk assessment and intraoperative complications management of congenital iris-choroid coloboma with cataract

王震宇 贾宇轩 宋旭东
国际眼科纵览2024,Vol.48Issue(1) :41-45.DOI:10.3760/cma.j.issn.1673-5803.2024.01.008

先天性虹膜脉络膜缺损合并白内障的围手术期风险评估及术中并发症处理

Perioperative risk assessment and intraoperative complications management of congenital iris-choroid coloboma with cataract

王震宇 1贾宇轩 1宋旭东1
扫码查看

作者信息

  • 1. 首都医科大学附属北京同仁医院北京同仁眼科中心眼科学与视觉科学北京市重点实验室,北京 100730
  • 折叠

摘要

白内障是先天性虹膜脉络膜缺损的重要合并症,手术是目前唯一的治疗方式.为达到理想的术后效果,需在术前针对角膜、前房、晶状体、悬韧带及眼底等采用多种手段检查评估,设计手术方案,并对晶状体脱位、晶状体囊膜撕裂、角膜后弹力层脱离等术中并发症做好预案.术中使用瞳孔扩张装置辅助,联合瞳孔成型或植入人工虹膜的方式重建瞳孔,可提高术后视觉质量.(国际眼科纵览,2024,48:41-45)

Abstract

Cataract is one of the important complications of congenital iris-choroid coloboma.Sur-gery is the only treatment at present.In order to achieve an ideal postoperative effect,the ophthalmologists should use various methods to exam and evaluate the patients'cornea,anterior chamber,lens,zonule and fundus before surgery,design a surgical plan,and make plans for intraoperative complications such as ecto-pia lentis,capsule rupture or tear of lens,Descemet membrane detachment.The use of pupilexpander in cataract surgery,combined with pupilloplasty or artificial iris implantation,can improve postoperative visual quality and may be clinically applicable.(Irt Rev Ophthalmol,2024,48:41-45)

关键词

先天性虹膜脉络膜缺损/白内障/围手术期/并发症

Key words

congenital iris-choroid coloboma/cataract/perioperative period/complications

引用本文复制引用

基金项目

国家自然科学基金(82271067)

同仁医院自然培育基金(2022)(2021-YJJ-ZZL-040)

出版年

2024
国际眼科纵览
中华医学会 北京市眼科研究所

国际眼科纵览

影响因子:0.243
ISSN:1673-5803
参考文献量46
段落导航相关论文