中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2010年
1期
28-30
,共3页
白色白内障%黏弹剂%超声乳化%连续环形撕囊
白色白內障%黏彈劑%超聲乳化%連續環形撕囊
백색백내장%점탄제%초성유화%련속배형시낭
White cataract%CCC%Viscoelastic%Phacoemulsification
目的 探讨在缺乏染色剂时,黏弹剂注入联合滴水撕囊针在白色白内障撕囊中的应用.方法 对37例38只眼,术中由于缺乏染色剂,撕囊时前房内先注入黏弹剂,然后用滴水撕囊针撕囊,边撕囊边滴水,以冲淡溢出的乳化皮质,使囊口和囊膜不致于难以看清.结果 1只在囊口撕到一半时,囊口偏大,乳化皮质大量涌出,撑破囊口.另1只眼第一圈将撕完时感觉囊口嫌小,螺旋状再连着撕第二圈时,囊口方向外展偏大,乳化皮质涌出,囊口外裂.其余36只眼囊口均完整,顺利完成超声乳化手术.结论 在缺乏染色剂时,白色白内障撕囊时要更慢更小心,让囊袋内乳化皮质慢慢溢出,同时滴水冲淡,囊口相对看得清时,再轻轻撕动囊口,囊口方向外展勿过大;囊口也勿撕得过大,4.5mm直径的囊口即可接受,囊口越大,乳化皮质溢出时对囊口向外撑的力也越大,囊口易外裂,导致撕囊失败,囊口不完整.
目的 探討在缺乏染色劑時,黏彈劑註入聯閤滴水撕囊針在白色白內障撕囊中的應用.方法 對37例38隻眼,術中由于缺乏染色劑,撕囊時前房內先註入黏彈劑,然後用滴水撕囊針撕囊,邊撕囊邊滴水,以遲淡溢齣的乳化皮質,使囊口和囊膜不緻于難以看清.結果 1隻在囊口撕到一半時,囊口偏大,乳化皮質大量湧齣,撐破囊口.另1隻眼第一圈將撕完時感覺囊口嫌小,螺鏇狀再連著撕第二圈時,囊口方嚮外展偏大,乳化皮質湧齣,囊口外裂.其餘36隻眼囊口均完整,順利完成超聲乳化手術.結論 在缺乏染色劑時,白色白內障撕囊時要更慢更小心,讓囊袋內乳化皮質慢慢溢齣,同時滴水遲淡,囊口相對看得清時,再輕輕撕動囊口,囊口方嚮外展勿過大;囊口也勿撕得過大,4.5mm直徑的囊口即可接受,囊口越大,乳化皮質溢齣時對囊口嚮外撐的力也越大,囊口易外裂,導緻撕囊失敗,囊口不完整.
목적 탐토재결핍염색제시,점탄제주입연합적수시낭침재백색백내장시낭중적응용.방법 대37례38지안,술중유우결핍염색제,시낭시전방내선주입점탄제,연후용적수시낭침시낭,변시낭변적수,이충담일출적유화피질,사낭구화낭막불치우난이간청.결과 1지재낭구시도일반시,낭구편대,유화피질대량용출,탱파낭구.령1지안제일권장시완시감각낭구혐소,라선상재련착시제이권시,낭구방향외전편대,유화피질용출,낭구외렬.기여36지안낭구균완정,순리완성초성유화수술.결론 재결핍염색제시,백색백내장시낭시요경만경소심,양낭대내유화피질만만일출,동시적수충담,낭구상대간득청시,재경경시동낭구,낭구방향외전물과대;낭구야물시득과대,4.5mm직경적낭구즉가접수,낭구월대,유화피질일출시대낭구향외탱적력야월대,낭구역외렬,도치시낭실패,낭구불완정.
Objective To examine the efficacy of visoelastic needle circular continuous capsulorrhex-is facilitated with irrigation in white cataract without the use of capsular dyes.Methods Thirty-eight eyes of 37 patients with white cataract were retrospectively reviewed.After slightly overfilling the anterior chamber with viscoelastic, needle circular continuous capsulorrhexis was performed with simultaneous irrigation through the needle to dilute the cloudy liquefied cortex and move the capsular flap and help to visualize the edge of the cap-sulorrhexis.Results CCC was successfully accomplished in 36 eyes, failed in one eye due to the gushing out of liquefied cortex in the progress of CCC.In another case, capsulorrhexis was made too large during the sec-ond ring and strayed to the periphery.Conclusions The findings of this study suggested that without capsular dyes, simultaneous irrigation was helpful in visualizing the anterior capsule during viscoelastic needle CCC in white cataract.
