摘要
目的研究膨胀期老年性白内障超声乳化中微小连续环形撕囊的安全性和短期手术效果。方法对143例皮质膨胀期老年性白内障患者进行较小的连续环形撕囊,常规超声乳化手术,植入人工晶状体后,根据撕囊直径的大小,再扩大撕囊至6 mm左右。对连续环形撕囊的完成率、术中、术后并发症和术后最佳矫正视力进行统计分析。结果 132例(92.3%)膨胀期白内障患者顺利完成连续环形撕囊,其中82例(57.3%)进行了2次撕囊。8例(5.6%)环形撕囊失败的患者最终采用白内障囊外摘除术,4例(2.8%)术中发生后囊膜破裂和玻璃体丢失。结论膨胀期白内障的超声乳化手术采用微小连续环形撕囊方法,必要时2次撕囊,具有良好的安全性。
Objective To evaluate the safety of small-capsulorhexis skills during phacoemulsification in senile intumescent cataract patients and the short-term surgery outcomes.Methods Totally 143 senile intumescent cataract eyes（143 patients） were included in this study.They received phacoemulsification surgeries with a deliberately small continuous curvilinear capsulorhexis（CCC）（about 4 mm） that was secondarily enlarged to about 6 mm after intraocular lens had been inplanted.The rate of CCC completed and intraoperative and postoperative complications and short-term surgical outcomes had been statistically analyzed.Results CCC had been completed in 132（92.3%） intumescent cataract patients and secondly CCC was needed in 82（57.3%） of them.Four failed cases suffered from breaking of the capsule and vitreous loss.Conclusion Small continuous curvilinear capsulorhexis could help prevent unexpected radial tears of the capsulotomy during phacoemulsification in intumescent cataract patients.
出处
《基础医学与临床》
CSCD
北大核心
2011年第6期713-716,共4页
Basic and Clinical Medicine
关键词
膨胀期白内障
连续环形撕囊
超声乳化
intumescent cataract
continuous curvilinear capsulorhexis
phacoemulsification
