Anterior-approach vitrectomy combined with phacoemulsification and intraocular lens suspension on lens dislocation
10.3980/j.issn.1672-5123.2025.11.24
- VernacularTitle:前入路玻璃体切割联合超声乳化及人工晶状体悬吊术治疗晶状体脱位
- Author:
Peishan XU
1
;
Xinxin XU
1
;
Wenkui ZHU
1
Author Information
1. Department of Ophthalmology, Pingmei Shenma Medical Group General Hospital, Pingdingshan 467000, Henan Province, China
- Publication Type:Journal Article
- Keywords:
vitrectomy;
phacoemulsification;
intraocular lens suspension;
lens dislocation
- From:
International Eye Science
2025;25(11):1864-1868
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To analyze the clinical efficacy of anterior-approach vitrectomy combined with phacoemulsification and intraocular lens suspension on lens dislocation caused by high-pressure water pipe injury in mines.METHODS:A retrospective analysis was conducted on the data of 92 patients with lens dislocation caused by high-pressure water pipe injury in mines who underwent surgical treatment in Pingmei Shenma Medical Group General Hospital from April 2022 to August 2024. Complying with different surgical methods, they were classified into the traditional group(n=45, traditional surgery)and the study group(n=47, anterior-approach vitrectomy combined with phacoemulsification and intraocular lens suspension). Two groups were compared in terms of best corrected visual acuity(BCVA)and intraocular pressure at different time points before and after surgery, incidence of postoperative complications, and the visual function and quality of life questionnaire(VF-QOL)scores within 6 mo after surgery.RESULTS:There was comparability between the general information of the traditional group and the study group. Both groups showed a decrease in BCVA and intraocular pressure at 1, 3, and 6 mo postoperatively compared to preoperative levels(all P<0.05). Among them, the study group had lower BCVA(LogMAR)and intraocular pressure at 1, 3, and 6 mo postoperatively compared to the traditional group(all P<0.05). The study group had lower total incidence of postoperative complications than the traditional group(8% vs 26%, P<0.05). The study group had higher VF-QOL scores at 6 mo postoperatively than the traditional group(all P<0.01).CONCLUSION:Anterior-approach vitrectomy combined with phacoemulsification and intraocular lens suspension can effectively reduce intraocular pressure, clearly improve visual acuity and quality of life in patients with lens dislocation caused by high-pressure water pipe injury in mines, and have fewer postoperative complications.
