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扭动模式超声乳化白内障吸除的临床应用 被引量：4

Application of OzilTM torsional technology in phacoemulsification for extraction of a catarect
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摘要 目的探讨扭动模式超声乳化用于白内障吸除术的效果。方法单纯老年性白内障患者132例(184眼),随机分为两组,分别采用扭动模式(A组,92眼)和常规模式(B组,92眼)施行白内障吸除术。术前对核硬度分级。记录术中所用的超声时间及超声能量。并比较术后角膜透明程度及最佳矫正视力。结果两组均采用负压400mm Hg,流量40ml/min。A组超声能量为0-10%;B组超声能量为30%-40%,爆破模式。在Ⅰ、Ⅱ级核患者,A组术中所用的超声能量及超声时间分别为(7.4876±4.1235)%和(21.2722±16.0634)s,均明显少于B组的(10.3415±3.6663)%和(33.1488±20.3963)s(P<0.01);在Ⅲ、Ⅳ级核患者,A组术中的超声能量及超声时间分别为(12.1627±5.0797)%和(34.3961±19.7183)s,均明显少于B组的(14.8157±6.1555)%和(70.0784±37.0080)s(P<0.01)。与B组比较,A组Ⅲ、Ⅳ级核患者术后1、3d的角膜水肿较轻、最佳矫正视力更好(P<0.05)。结论扭动模式超声乳化较之常规超声乳化更为高效和安全,术后早期易获得理想视力。 Objective To investigate the outcomes of OzilTM torsional technology in phacoemulsification for extraction of a cataract. Methods A total of 132 patients with cataract（184 eyes） was divided into two groups of A（92 eyes,using OzilTM torsional technology） and B（92 eyes,using conventional technology）.The nuclei were graded according to the hardness.The operative outcomes were evaluated with the equivalent phaco time（EPT）,100% torsional power in group A or the phaco power in group B,cornea clarity,and best corrected visual acuity after surgery. Results The burst mode with the vacuum of 400 mm Hg was used during phacoemulsification.The power was 0-10% in group A,and 30%-40% in group B.For the cases with nuclei grade Ⅰ-Ⅱ,EPT and torsional power in group A were（7.4876±4.1235）% and（21.2722±16.0634） s,which were less than（10.3415±3.6663）% and（33.1488±20.3963） s in group B（P0.01）.For the cases with nuclei grade Ⅲ-Ⅳ,EPT and torsional power in group A were（12.1627±5.0797）% and（34.3961±19.7183） s,which were less than（14.8157±6.1555）% and（70.0784±37.0080） s in group B（P0.01）.Compared to group B with grade Ⅲ-Ⅳ nuclei,the cornea clarity and best corrected visual acuity were significantly better in group A on the 1st and 3rd day after operation（P0.05）. ConclusionThe OzilTM torsional technology in phacoemulsification is better than conventional technology in reducing EPT actual power and in phacoemulsification in the early operative days,which improves the safety and efficiency for the extraction of a cataract.
作者 薛春燕 石尧 丁颖 黄振平 陈银 吕艳丽
机构地区 南京军区南京总医院眼科
出处 《江苏医药》 CAS CSCD 北大核心 2012年第6期692-693,共2页 Jiangsu Medical Journal
关键词 扭动模式超声乳化 白内障吸除术 Phacoemulsification with torsional technology Cataract
分类号 R776 [医药卫生—眼科]
  • 相关文献

参考文献4

  • 1Liu Y,Zeng M,Liu X,et al.Torsional mode versus conven-tional ultrasound mode phacoemulsification:randomized com-parative clinical study[J].J Cataract Refract Surg,2007,33(2):287-292.
  • 2吕艳丽,黄振平,田农,薛春燕.Infiniti系统扭动超声对切口温度影响的实验研究[J].医学研究生学报,2008,21(1):22-24. 被引量：8
  • 3Fakhry MA,El Shazly MI.Torsional ultrasound mode ver-sus combined torsional and conventional ultrasound mode phac-oemulsification for eyes with hard cataract[J].Clin Ophthal-mol,2011,5:973-978.
  • 4Kim DH,Wee WR,Lee JH,et al.The comparison betweentorsional and conventional mode phacoemulsification in mode-rate and hard cataracts[J].Korean J Ophthalmol,2010,24(6):336-340.

二级参考文献8

  • 1黄振平.屈光手术的最新技术及其临床应用[J].医学研究生学报,2007,20(4):337-338. 被引量：24
  • 2徐仁凤,黄振平,杨丽萍.白内障术后不同人工晶状体对比敏感度的研究[J].医学研究生学报,2007,20(3):266-268. 被引量：16
  • 3Hoffman RS, Fine IH, Packer M. New phacoemulsification technology [J]. Curr Opin Ophthalmol, 2005,16 ( 1 ) : 38-43.
  • 4Alan Sugar, Robert MS. Clinical course of phacoemulsification wound bums [ J ]. J Cataract Refract Surg, 1999,25 (5) :688-692.
  • 5Liu YZ,Zeng MB ,Liu XL. Torsional mode versus conventional ultrasound mode phacoemulsification [J]. J Cataract Refract Surg, 2007,33 (2) :287-292.
  • 6Agarwal A , Agarwal S. Phakonit: phacoemulsification through a 0.9 mm corneal incision [ J ]. J Cataract Refract Surg, 2001,27 (10) :1548-1552.
  • 7Goldblart WS,Finger PT,Perry HD, et al. Hyperthermie treatment of rabbit cornea [ J ]. Invest Ophthalmol Vis Sci, 1989,30 ( 11 ) : 1778-1783.
  • 8Hiroko BM, Shigeto S, Kazuo T. Thermal effect on corneal incision with different phacoemulsification ultrasonic tips [ J ]. J Cataract Refract Surg, 1999,25 ( 1 ) :60-64.

共引文献7

同被引文献43

  • 1杨顺海,郑海华,韩真真.超声乳化联合人工晶状体植入术治疗超高度近视白内障疗效分析[J].眼视光学杂志,2005,7(2):100-101. 被引量：8
  • 2Hardten DR. Phakic iris claw artisan intraocular lens forcorrection of high myopia and hyperopia[J]. Int OphthalmolClin,2000,40(3):209-221.
  • 3Van Der Pol BA,Worst JG. Iris-Claw intraocular lenses inchildren[J]. Doc Ophthalmol,1996,92(l):29-35.
  • 4Riazi M,Moghimi S,Najmi Z,et al. Secondary Artisan-Verysise intraocular iens implantation for aphakic correctionin post-traumatic vitrectomized eye[J]. Eye(Lond),2008,22(11):1419-1424.
  • 5Sminia ML,Odenthal MT,Wenniger-Prick LJ,et al.Traumatic pediatric cataract:a decade of follow-up afterArtisan aphakia intraocular lens implantation[J]. J AAPOS,2007,11(6):555-558.
  • 6Sminia ML,Odenthal MT,Prick Lj,et al. Long-term follow-up of the comeal endothelium after aphakic iris-fixated IOLimplantation for bilateral cataract in children[J]. J CataractRefract Surg,2011,37(5):866-872.
  • 7Lett KS,Chaudhuri PR. Visual outcomes following Artisanaphakia iris claw lens implantation[J]. Eye(Lond),2011,25(1):73-76.
  • 8Dadeya S,Kamlesh,Kumari Sodhi P. Secondary intraocularlens(IOL) implantation:anterior chamber versus scleralfixation long-term comparative evaluation [ J]. Eur JOphthalmol,2003,13(7):627-633.
  • 9Menezo JL,Cisneros AL,Rodriguez-Salvador V. Endothelialstudy of iris-claw phakic lens:four year follow-up [ J]. JCataract Refract Surg,1998,24(8):1039-1049.
  • 10Baykara M,Ozcetin H,Yilmaz S,et al. Posterior iris fixationof the iris-claw intraocular lens implantation through a scleraltunnel incision [J]. Am J Ophthalmol,2007,144(4):586-591.

引证文献4

二级引证文献14

江苏医药
2012年 第6期

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