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白内障手术核处理技术转变的临床体会

Improvement of cataract surgery
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摘要 目的:探讨白内障手术从现代囊外(ECCE)到反眉状隧道式白内障摘除(小切口无缝线)人工晶状体(IOL)植入再到超声乳化白内障吸除(phaco)IOL植入术的过渡和转换中技术的优越性。方法:58例(79眼)均采用囊袋上机械碎核,低能量高负压吸除碎核。结果:58例(79眼)无1例发生后囊膜破裂,角膜内皮细胞损伤性水肿发生率极低,视力恢复很快,很稳定。结论:技术互补,明显减少了对眼内周围组织的损伤,升华了手术效果,使该手术更具安全性、完美性,更具有广泛的推广前景。 AIM: To explore the improvement of cataract surgeries developed from extracap sular extraction to small incision IOL implantation without suture, and then to phaco IOL implantation.· METHODS: A total of 58 cases (79 eyes) underwent improved nucleus division an d phaco energy nucleus exsuction.· RESULTS: No posterior capsular rupture occurred in all the cases. The inciden ce of endothelial cell injured edema was quite low, and visual acuity was improv ed quickly and steadily.· CONCLUSION: Compensation of different techniques can apparently reduce the ti ssue injuries and improve the effectiveness and safety of surgery. Thus it is of great value to be expanded.·
出处 《国际眼科杂志》 CAS 2004年第4期706-707,共2页 International Eye Science
关键词 白内障手术 机械性碎核 超声乳化 眼内组织损伤 cataract surgery improved divide nucleus phacoemulsification oc ular tissue damage
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  • 1王建英,孟振山,李楠,曲学华.反眉状隧道式白内障摘除人工晶体植入术的临床应用[J].中国实用眼科杂志,1998,16(9):574-574. 被引量:4
  • 2Zetterstromc, Laurell CG. Comparison of endothelial cell loss and phacoemulsification energy during endocapsular phacoemulsification surgery. J Cataract Refract Surg, 1995;21:55-58
  • 3Kratg RP, Magocco TR, Davidso B. The shearing intraocular lens: a report of 1 000 cases.J Am Intraocul Lmplant Soc, 1981;7:55

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