摘要
目的探讨晶状体超声乳化吸出术中后囊破裂的处理及人工晶状体植入的方法.方法表面麻醉下晶状体超声乳化术中发生后囊破裂,术中及时发现破孔,充分利用黏弹剂,并联合前段玻璃体切除术.30例(30眼)全部植入后房人工晶状体.结果人工晶状体的两个襻植入囊袋内者10眼,一襻植入囊袋内另一襻在睫状沟内或两个襻都在睫状沟内共16眼,人工晶状体两个襻缝线固定于巩膜瓣下4眼.术后4周随访,视力＞0.5者20眼,占66.67%;0.3～0.5者6眼,占20.00%;0.05～0.2者共4眼,占13.33%.结论晶状体超声乳化术中如果发生后囊破裂,只要及时发现,妥善处理,仍可以安全地植入后房人工晶状体,术后视力恢复较好.
Objective To investigate the management and methods of intraocular lens （IOL） implantation for posterior capsule rupture during phacoemulsification. Methods During phacoemulsification with topical anesthesia, posterior capsule rupture took place in 30 cases （30 eyes）. With in time finding, use of viscoelastics and anterior vitrectomy, posterior IOLs were implanted in all eyes. Results IOLs were implanted into the capsule bag in 10 eyes,in the scleral sulcus in 16 eyes, scleral sulcus fixing in 4 eyes.. 4 weeks after surgery, visual acuity was better than 0.5 in 20 eyes （66.67%）, 0.3 - 0.5 in 6 eyes（20.00%）, 0.05-0.2 in 4 eyes（13.33%）. Conclusion During phacoemulsification, if posterior capsule rupture appeared, in time finding and suitable management can make ]OL implantation safely and visual acuity recover is well.
出处
《眼外伤职业眼病杂志》
北大核心
2005年第9期683-684,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
晶状体超声乳化
后囊破裂
晶状体
人工
phacoemulsification
posterior capsule rupture
intraocular lens
