摘要
目的探讨瞳孔粘连或闭锁的白内障超声乳化人工晶状体植入的方法和疗效。方法收集54例56眼瞳孔后粘连或闭锁的白内障患者的临床资料,所有患者均在表面麻醉下行白内障超声乳化吸出加人工晶状体植入术,术中采用黏弹剂、钝针头、囊膜剪分离粘连和机化膜,灌注液中加肾上腺素,扩大瞳孔;囊袋内刻槽、劈核等方法。术后随访1～6个月,观察手术效果。结果56眼均能完成白内障超声乳化吸出加人工晶状体植入,术中后囊膜破裂3眼,前房出血2眼,术后前房出血4眼,均在3d内吸收。角膜轻度混浊、水肿11眼,术后7d内恢复透明。术后前房纤维渗出5眼,均得以药物控制。术后1周视力0.02～0.08者11眼,0.1～0.4者12眼,视力≥0.5者33眼。术后视力较术前提高50眼。结论对瞳孔粘连或闭锁白内障完成白内障超声乳化吸出加人工晶状体植入术是可行的,此类白内障患者仍有较好的治疗效果。
Objective To evaluate the efficacy of cataract phacoemulsification and intraocular lens implantation in patients with pupil conglutination or atresia. Methods Fifty-four cataract cases （56 eyes）with pupil conglutination or atresia were treated with topical anesthesia, and then pupil was expanded with viscoelastic agents, blunt needle, cutting capsule, the separation of membrane adhesion and aircraft, plus epinephrine infusion fluid. Phacoemulsification and intraocular lens implantation were accomplished with intra-bag groove, chop. The efficacy was summarized. Results Phacoemulsification and intraocular lens implantation was accomplished in all 56 cases, and posterior capsular rupture in 3 cases, intra-operative hyphema in 2 cases ,post-operative hyphema in 4 cases, and all were absorbed in 3 days. Corneas of 11 eyes were with mild opacity or edema, which became clarity at 7 days post-operatively. The visual acuity was 0.02 to 0.08 in 11 eyes,0.1 to 0.4 in 12 eyes,equal with or more than 0.5 in 33 eyes. Visual acuity of 50 eyes had significantly improvement compared with that of pre-operation. Conclusion Well-developed skills were needed, and phacoemulsification associated with intraocular lens implantation is feasible for cataract patients with pupil con-glutination or atresia. This kind cataract still has a good clinical efficacy.
出处
《眼科新进展》
CAS
北大核心
2009年第1期51-53,共3页
Recent Advances in Ophthalmology
关键词
瞳孔粘连
白内障
超声乳化
人工晶状体
pupil conglutination
cataract
phacoemulsification
intraocular lens
