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白内障术中后囊浑浊的连续环形撕囊术 被引量:2

Continuous curvilinear capsulorhexis for posterior capsule opacity during catara ct surgery
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摘要 目的 探讨白内障超声乳化吸出术中后囊浑浊时进行后囊连续环形撕囊术的临床疗效。方法 对 2 0 0 0年 11月~ 2 0 0 3年 4月 1973眼白内障超声乳化吸出及人工晶状体植入术 ,发现后囊浑浊的 87眼 (浑浊度达 2~ 3级 )。按常规完成晶状体超声乳化吸出术后 ,在后囊中央区作一直径 3~ 4mm的连续环形撕囊 ,囊袋内植入PMMA人工晶体。结果 术后裸眼视力 0 2~ 0 4者 2 6眼占 2 9 9% ,0 5~ 0 8者 3 7眼占 42 5% ,1 0以上者 2 4眼占 2 7 6% ,裸眼视力 0 5以上者共 61眼占70 11%。术后视轴光学通道清晰 ,无囊样黄斑水肿或视网膜脱离等手术并发症。结论 联合前后囊连续环形撕囊术治疗后囊浑浊白内障 ,疗效显著 ,但技术性强 。 Objective To observe the effect of continuous curvilinear capsulorhexis for posterior capsule opacity during cataract surgery Methods In the last 3 years cataract surgery(phacoemulsificatio n and intraocular lens implantation),87 out of 1973 eyes received posterior caps ule continuous curvilinear capsulorhexis because of posterior capsule opacity an d the results were observed Results After operation,visual acuity was 0 2-0 4 in 26 eyes (29 9%),0 5-0 8 in 37 eyes (42 5%),over 1 0 in 24 eyes(27 6%) Visual axis was clear and no cystoid macular edema or retinal detachment took place Conclusion Posterior capsule continuous curvilinear capsuorhexi s is an effective method for posterior capsule opacity but needs high skill and rich experience
出处 《眼外伤职业眼病杂志》 北大核心 2003年第9期595-596,共2页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 白内障 超声乳化吸出术 后囊浑浊 连续环形撕囊术 疗效 Cataract Phacoemulsification Posterior capsule opacity Continuous curvilinear capsulorhexis
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