CAJ | 학술논문

目的：探讨信封式后囊膜剪除术治疗纤维性后发障的方法、疗效及并发症。方法选择该院32例明确诊断为纤维性后发障患者行信封式后囊膜剪除术治疗，记录手术前后视力、眼压变化以及术后并发症的发生情况。结果所有患者均成功剪除瞳孔区的后发障组织，恢复透明，视力提高，从术前平均视力0.15恢复到术后第1天平均视力0.3，术后1周平均视力0.6，无一例发生人工晶体移位、视网膜脱离、黄斑水肿等并发症。结论信封式后囊膜剪除术是治疗纤维性后发障的一种行之有效的方法，但因该术式对手术医师技术要求高，建议应严格把握手术适应证。
목적：탐토신봉식후낭막전제술치료섬유성후발장적방법、료효급병발증。방법선택해원32례명학진단위섬유성후발장환자행신봉식후낭막전제술치료，기록수술전후시력、안압변화이급술후병발증적발생정황。결과소유환자균성공전제동공구적후발장조직，회복투명，시력제고，종술전평균시력0.15회복도술후제1천평균시력0.3，술후1주평균시력0.6，무일례발생인공정체이위、시망막탈리、황반수종등병발증。결론신봉식후낭막전제술시치료섬유성후발장적일충행지유효적방법，단인해술식대수술의사기술요구고，건의응엄격파악수술괄응증。
Objective To explore the efficacy and complications of envelope posterior capsulectomy in the treatment of fibrous posterior capsule opacification ( PCO) .Methods A retrospective analysis was performed of com-plete follow-up data of 32 patients fibrous PCO undergoing the evelope posterior capsulectomy including visual acuity , intraocular pressure ,and postoperative complications before and after surgery .Results All patients were successfully cut off the PCO tissue in the pupil area , the transparency recovered ,visual acuity improved from preoperative average 0.15 to 0.3 at fist postoperative day and reached 0.6 at 1 week after operation .No cases of lens displacement , reti-nal detachment , macular edema and other complication were found.Co nclusion Envelope posterior capsulectomy in the treatment of fibrous PCO is an effective method , but the surgeon should have skilled technology and strictly grasp the indications for surgery .