非染色连续环形撕囊在白色白内障超声乳化中的应用观察

目的：探讨非染色连续环形撕囊超声乳化联合人工晶状体植入术治疗白色白内障的疗效。方法：对458眼白色白内障施行非染色连续环形撕囊超声乳化联合人工晶状体植入术,观察其撕囊成功率、术中的并发症、术后视力、术后角膜水肿反应等指标。结果：患者458眼中撕囊成功441眼（96.3%）,17眼（3.7%）囊膜出现放射状撕裂,以剪刀剪出一囊膜瓣再完成撕囊。术中后囊膜破裂9眼（2.0%）,术后轻度角膜水肿94眼（20.5%）,中度水肿29眼（6.3%）,重度水肿8眼（1.7%）,水肿均在2～10d内消退,无角膜内皮失代偿。术后第1d视力均有明显的提高,视力〉0.3者329眼（71.8%）,术后1wk视力〉0.5...

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Bibliographic Details
Published in国际眼科杂志 Vol. 13; no. 2; pp. 359 - 360
Main Author 谈刚 宋哲 董万江 江晓龙 曹奎
Format Journal Article
LanguageChinese
Published 绵阳万江眼科医院,中国四川省绵阳市,621000%北京中医药大学东方医院眼科,中国北京市,100078 2013
Subjects
白色白内障
超声乳化
非染色连续环形撕囊
非染色连续环形撕囊
白色白内障
超声乳化
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Summary:目的：探讨非染色连续环形撕囊超声乳化联合人工晶状体植入术治疗白色白内障的疗效。方法：对458眼白色白内障施行非染色连续环形撕囊超声乳化联合人工晶状体植入术,观察其撕囊成功率、术中的并发症、术后视力、术后角膜水肿反应等指标。结果：患者458眼中撕囊成功441眼（96.3%）,17眼（3.7%）囊膜出现放射状撕裂,以剪刀剪出一囊膜瓣再完成撕囊。术中后囊膜破裂9眼（2.0%）,术后轻度角膜水肿94眼（20.5%）,中度水肿29眼（6.3%）,重度水肿8眼（1.7%）,水肿均在2～10d内消退,无角膜内皮失代偿。术后第1d视力均有明显的提高,视力〉0.3者329眼（71.8%）,术后1wk视力〉0.5者417眼（91.0%）。结论：非染色连续环形撕囊超声乳化联合人工晶状体植入术治疗白色白内障虽手术操作较为困难,但熟练后成功率较高,术后视力恢复良好。
Bibliography:61-1419/R
white cataract; phacoemulsification; non- staining continuous curvilinear capsulorhexis
Gang Tan, Zhe Song, Wan-Jiang Dong, Xiao- Long Jiang, Kui Cao （1 Mianyang Wanjiang Eye Hospital, Mianyang 621000, Sichuan Province, China; 2 Department of Ophthalmology, Dongfang Hospital, the Second Clinical Medical College of Beijing University of Chinese Medicine, Beijing 100078, China）
AIM： To investigate the non- staining continuous curvilinear capsulorhexis and phacoemulsification with intraocular lens implantation for the treatment of white cataract. METHODS： Totally 458 eyes with white cataract underwent phacoemulsification combined intraocular lens implantation, the success rate, intraoperative complications, postoperative visual acuity, corneal edema response index were observed. RESULTS： Of the 458 eyes, capsulorhexis was successful in 441 eyes （96.3%）, 17 eyes （3.7%） film radial tear occurred with scissors, capsular flap was cut out and capsulorhexis was completed. Intraoperative rupture of posterior cap
ISSN:1672-5123
DOI:10.3980/j.issn.1672-5123.2013.02.42