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超声乳化手术中晶状体后囊破裂的处理

Treatment of posterior capsular rupture in the phacoemulsification
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摘要 目的评价白内障行超声乳化手术中晶状体后囊破裂的处理方法。方法547例(634眼)白内障进行超声乳化手术中发生后囊破裂的13眼(2.05%),根据其后囊破裂发生的不同时段、是否有核块坠人玻璃体等情况,采取不同的处理方法。结果13眼术后3个月最佳矫正视力均≥0.5,其中2眼于白内障手术后3周行玻璃体切除手术。结论超声乳化术中晶状体后囊破裂后应积极处理,恰当有效的处理方法不但可以消除后囊破裂所致并发症,而且还能获得较好的视力。 Objective To evaluate the treatment of posterior capsular rupture in the cataract phaco- emulsification. Methods This complication from 13 eyes ( 2.05% ) in 634 eyes of 547 cases, during cata- ract phacoemulsification was collected. The different treatments were adopted according to the different peri- od of posterior capsule rupture occurred and whether lens fragments dropped into the vitreous or not. Results The best correct visual acuitiy was 0.5 or better is 13 eyes after 3 months, and vitrectomy was performed on 2 eyes of them in 3 weeks after phacoemulsification. Conclusion The posterior capsular rupture occur- ring during phacoemulsification must be immediately managed. Active treatment not only can eliminate the complications caused by posterior capsule rupture, but also can obtain the satisfactory visual acuity.
出处 《中华眼外伤职业眼病杂志》 2013年第5期367-369,共3页 Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词 超声乳化术 后囊破裂 处理方法 Phaeoemulsification Posterior capsular rupture Treatment
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