CAJ | 학술논문

目的探讨成熟期和过熟期白色白内障连续环形撕囊(CCC)囊膜丢失后,在不吸除黏弹剂情况下使用台盼蓝染色找回丢失囊膜的有效性.方法对52例(52只眼)术中连续环形撕囊发生囊膜丢失的连续性白色白内障病例进行前瞻性研究.随机分为两组,染色组27例(27只眼),对照组25例(25只眼).染色组不吸除前房玻璃酸钠,使用台盼蓝囊膜染色.对照组吸除前房玻璃酸钠后进行撕囊或截囊.对两组连续环性撕囊成功率、人工晶状体囊袋内植入率进行统计学分析.结果染色组连续环形撕囊及人工晶状体囊袋内植入率高于对照组,差异具有统计学意义(P<0.01),无毒性及并发症发生.对照组有9只眼人工晶状体植入睫状沟,6只眼发生后囊膜破裂及玻璃体脱出.结论在连续环形撕囊发生囊膜丢失后,采取不吸除前房黏弹剂,应用台盼蓝对晶状体前囊膜染色,对找回丢失囊膜和CCC继续完成是有效和安全的.
목적 탐토성숙기화과숙기백색백내장련속배형시낭(CCC)낭막주실후,재불흡제점탄제정황하사용태반람염색조회주실낭막적유효성.방법 대52례(52지안)술중련속배형시낭발생낭막주실적련속성백색백내장병례진행전첨성연구.수궤분위량조,염색조27례(27지안),대조조25례(25지안).염색조불흡제전방파리산납,사용태반람낭막염색.대조조흡제전방파리산납후진행시낭혹절낭.대량조련속배성시낭성공솔、인공정상체낭대내식입솔진행통계학분석.결과 염색조련속배형시낭급인공정상체낭대내식입솔고우대조조,차이구유통계학의의(P<0.01),무독성급병발증발생.대조조유9지안인공정상체식입첩상구,6지안발생후낭막파렬급파리체탈출.결론 재련속배형시낭발생낭막주실후,채취불흡제전방점탄제,응용태반람대정상체전낭막염색,대조회주실낭막화CCC계속완성시유효화안전적.
Objective To explore the efficacy of trypan blue to find a lost edge of a continuous curvi-linear capsulorthexis (CCC)in white cataracts without removing Sodium Hyaluronate in anterior chamber. Methods Prospective observational study on consecutive eyes of 52 patients with white cataract who had "loss" of CCC.52 patients were randomly divided into two groups.In Group A (trypan blue),27 eyes of 27 pa-tients, trypan blue were applied to visualize the lost edges of CCC without removing Sodium Hyaluronate in an-terior chamber.In Group B (control group), 25 eyes of 25 patients, capsulorhexis or anterior capsulatomy was performed after removing Sodium Hyaluronate.The rates of complete capsuiorrhexis and IOL implanted in bag were compared between the groups.Results The rates of complete capsulorrhexis and IOL implanted in bag in Group A were all higher than in Group B (P<0.01).No toxic or complications were observed in Group A.In Group B, IOLs of 9 eyes were implanted in ciliary grooves.Postcapsule ruptures and prolapses of vitreous of 6 eyes occured.Conelusions It is effective and safe to apply Trypan blue to find the lost edge of CCC and con-tinue it without removing Sodium Hyaluronate in anterior chamber after loss of capsulorhexis during surgery.