国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
5期
937-938
,共2页
蒲晓莉%裴瑞%延新年%许淑云
蒲曉莉%裴瑞%延新年%許淑雲
포효리%배서%연신년%허숙운
双撕囊%干性%前部玻璃体切割%先天性白内障
雙撕囊%榦性%前部玻璃體切割%先天性白內障
쌍시낭%간성%전부파리체절할%선천성백내장
double capsulorhexis%dry%anterior vitrectomy%congenital cataract
目的:探讨先天性白内障超声乳化吸除联合干性前部玻璃体切割术预防后发性白内障的效果。<br> 方法:对先天性白内障患者18例32眼采用超声乳化白内障吸除、环形撕除晶状体前后囊膜联合干性前部玻璃体切割术,其中10例16眼一期囊袋内植入折叠式人工晶状体。术后观察角膜、前房炎性反应和后囊膜透亮程度,随访6~24(平均15) mo。<br> 结果:术后所有患者角膜清亮,前房反应轻微,大部分瞳孔圆形,视轴区清亮。3眼后囊膜切开区薄纱样混浊,4眼瞳孔轻度上移,3眼部分虹膜后粘连。<br> 结论:干性前部玻璃体切割术可有效降低儿童后发性白内障发生率,维持视轴清亮,有助于患儿视功能恢复,是一种安全有效的手术方法。
目的:探討先天性白內障超聲乳化吸除聯閤榦性前部玻璃體切割術預防後髮性白內障的效果。<br> 方法:對先天性白內障患者18例32眼採用超聲乳化白內障吸除、環形撕除晶狀體前後囊膜聯閤榦性前部玻璃體切割術,其中10例16眼一期囊袋內植入摺疊式人工晶狀體。術後觀察角膜、前房炎性反應和後囊膜透亮程度,隨訪6~24(平均15) mo。<br> 結果:術後所有患者角膜清亮,前房反應輕微,大部分瞳孔圓形,視軸區清亮。3眼後囊膜切開區薄紗樣混濁,4眼瞳孔輕度上移,3眼部分虹膜後粘連。<br> 結論:榦性前部玻璃體切割術可有效降低兒童後髮性白內障髮生率,維持視軸清亮,有助于患兒視功能恢複,是一種安全有效的手術方法。
목적:탐토선천성백내장초성유화흡제연합간성전부파리체절할술예방후발성백내장적효과。<br> 방법:대선천성백내장환자18례32안채용초성유화백내장흡제、배형시제정상체전후낭막연합간성전부파리체절할술,기중10례16안일기낭대내식입절첩식인공정상체。술후관찰각막、전방염성반응화후낭막투량정도,수방6~24(평균15) mo。<br> 결과:술후소유환자각막청량,전방반응경미,대부분동공원형,시축구청량。3안후낭막절개구박사양혼탁,4안동공경도상이,3안부분홍막후점련。<br> 결론:간성전부파리체절할술가유효강저인동후발성백내장발생솔,유지시축청량,유조우환인시공능회복,시일충안전유효적수술방법。
AIM: To investigate the incidence of posterior capsule opacification ( PCO ) in congenital cataract cases performed with phacoemulsification combined with double capsulorhexis and dry anterior vitrectomy. <br> METHODS: Anterior and posterior membrane curvilinear capsulorhexis combined with dry anterior vitrectomy disciplined in phacoemulsification procedures was performed in 18 congenital cataract cases on 32 eyes. Foldable intraocular lens were implanted into capsular bag in 10 cases ( 16 eyes ) . The reaction of cornea, anterior chamber inflammation and transparency of were observed, post-op lasting for 6-24mo (mean 15mo). <br> RESULTS: Transparent cornea and slightly inflammation of anterior chamber were observed in all eyes, while round pupils and transparency of optical axis were remained in most post - op cases. Meanwhile, slightly opacity of optical axis in 3 eyes, mildly pupil displacement in 4 eyes and posterior synechia of iris in 3 eyes were arisen post-operationally as well. <br> CONCLUSION: Phacoemulsification combined with double capsulorhexis and dry anterior vitrectomy could effectively decrease the incidence rate of PCO and essentially benefit the recovery of post-op visual function in congenital cataract cases.