白内障超声乳化术后囊膜破裂的临床分析

    The clinical analysis of posterior capsule rapture during phacoemulsification

    • 摘要: 目的:探讨白内障超声乳化手术中后囊膜破裂发生的原因、处理方法及对视力的影响。方法:将白内障超声乳化手术中发生后囊膜破裂17例分为2组:A组11例,在超声乳化核块过程中发生后囊膜破裂;B组6例,在注吸皮质和植入人工晶体时发生后囊膜破裂。比较2组术后视力、眼压、瞳孔、人工晶体位置、眼底情况。结果:术后1周,A组角膜水肿、前房反应和玻璃体混浊与B组差异均无统计学意义(P>0.05),A组视力低于B组(P<0.01)。术后3个月,A组最佳矫正视力、瞳孔欠圆和眼底黄斑水肿发生率与B组差异均无统计学意义(P>0.05),但2组术后视力均明显好于术前。结论:白内障超声乳化术中发生后囊膜破裂,只要术中及时发现、正确处理,不会产生其他严重并发症,仍可以提高患者的视力,提高超声乳化手术初学者的信心。

       

      Abstract: Objective: To investigate the reason,treatment of posterior capsule rapture during phacoemulsification and effects on the vision.Methods: The data of 17 cases with posterior capsule rapture during phacoemulsification were retrospectively analyzed.All cases were divided into group A(11 cases) and group B(6 cases).The posterior capsule rapture of group A and group B occurred during the phacoemulsification,and injection and suction of cortex and intraocular lens implantation,respectively.The visual acuity,intraocular pressure,pupil,location of artificial crystal and fundus between two groups were compared.Results: The differences of corneal edema,anterior chamber reaction and vitreous opacity between two groups were not statistically significant in 1 weeks after operation(P>0.05).The vision acuity in group A was lower than that in group B(P<0.01).The differences of best corrected visual acuity,non-round pupil and incidence of fundus macular edema between two groups were not statistically significant in 3 months after operation(P>0.05).Compared with before operation,the visual acuity of two groups were improved significantly after operation.Conclusions: The timely discovery and treatment of posterior capsule rapture during phacoemulsification can reduce the serious complications,improve the patient's vision and strengthen the confidence of the emulsification beginner.

       

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