中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
3期
322-325
,共4页
囊袋阻滞综合征%白内障超声乳化%连续环形撕囊%人工晶状体
囊袋阻滯綜閤徵%白內障超聲乳化%連續環形撕囊%人工晶狀體
낭대조체종합정%백내장초성유화%련속배형시낭%인공정상체
Capsular block syndrome%Phacoemulsification%Continuous circular capsulorhexis%Intraocular lens
目的 探讨白内障超声乳化联合人工晶状体植入术后囊袋阻滞综合征(capsular block syndrome,CBS)的临床表现、发生机制、治疗和预防方法.方法 采用回顾性分析法,对2009年7月至2011年5月施行白内障超声乳化联合人工晶体植入术3287例(3854只眼),术后共发生15例(15只眼)CBS,分析其临床特点并随访了不同处理方法的效果.结果 11例诊断为术后早期CBS,4例为术后晚期CBS,前囊连续环形撕囊口直径均小于5 mm.除3例早期CBS未经干预症状自行消失,其中7例行Nd:YAG激光治疗,5例行前房及囊袋内冲洗后均恢复较好视力.讨论 前囊撕囊口直径过小,术中黏弹剂残留是术后早期CBS的两个易发因素,术后前房及囊袋内冲洗以及择期Nd:YAG激光前囊口或后囊切开均可以有效治疗术后CBS.
目的 探討白內障超聲乳化聯閤人工晶狀體植入術後囊袋阻滯綜閤徵(capsular block syndrome,CBS)的臨床錶現、髮生機製、治療和預防方法.方法 採用迴顧性分析法,對2009年7月至2011年5月施行白內障超聲乳化聯閤人工晶體植入術3287例(3854隻眼),術後共髮生15例(15隻眼)CBS,分析其臨床特點併隨訪瞭不同處理方法的效果.結果 11例診斷為術後早期CBS,4例為術後晚期CBS,前囊連續環形撕囊口直徑均小于5 mm.除3例早期CBS未經榦預癥狀自行消失,其中7例行Nd:YAG激光治療,5例行前房及囊袋內遲洗後均恢複較好視力.討論 前囊撕囊口直徑過小,術中黏彈劑殘留是術後早期CBS的兩箇易髮因素,術後前房及囊袋內遲洗以及擇期Nd:YAG激光前囊口或後囊切開均可以有效治療術後CBS.
목적 탐토백내장초성유화연합인공정상체식입술후낭대조체종합정(capsular block syndrome,CBS)적림상표현、발생궤제、치료화예방방법.방법 채용회고성분석법,대2009년7월지2011년5월시행백내장초성유화연합인공정체식입술3287례(3854지안),술후공발생15례(15지안)CBS,분석기림상특점병수방료불동처리방법적효과.결과 11례진단위술후조기CBS,4례위술후만기CBS,전낭련속배형시낭구직경균소우5 mm.제3례조기CBS미경간예증상자행소실,기중7례행Nd:YAG격광치료,5례행전방급낭대내충세후균회복교호시력.토론 전낭시낭구직경과소,술중점탄제잔류시술후조기CBS적량개역발인소,술후전방급낭대내충세이급택기Nd:YAG격광전낭구혹후낭절개균가이유효치료술후CBS.
Objective To explore the clinical characteristics,the etiology,the regimen and the prevention of postoperative capsular block syndrome (CBS) after phacoemulsification and intraocular lens implantation. Methods Fifteen patients (15 eyes) who developed postoperative capsular block syndrome from July 2009 to May 2011 were analyzed retrospectively.The clinical characteristics and follow-up results of different treatments were analyzed. Results There were 11 patients (11 eyes)with early postoperative CBS and 4 patients (4 eyes) with late postoperative CBS.The capsulorhexis diameter of the anterior capsule was less than 5mm.No special treatment was necessary on 3 patients (3 eyes) due to natural recovery,Nd:YAG laser was performed on 7 patients (7 eyes) and anterior chamber lavage performed on 5 patients (5 eyes). Conclusions Incomplete removal of the viscoelastic material during cataract surgery and a capsular capsulorhexis diameter that is too small are the two risk factors for postoperative CBS; anterior chamber lavage and Nd:YAG laser are both effective treatments for postoperative CBS.
