中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
1期
80-82
,共3页
白内障手术%后弹力层脱离%前房注气
白內障手術%後彈力層脫離%前房註氣
백내장수술%후탄력층탈리%전방주기
Cataract surgery%Descemet's membrane detachment%Anterior air
目的 观察前房注气术治疗白内障超声乳化手术导致角膜后弹力层脱离(Descemet's membrane detachment,DMD)的临床效果.方法 回顾分析2006年5月至2012年3月间,通过前房注气术治疗白内障超声乳化手术导致角膜后弹力层脱离的患者23例.其中大于1/2角膜面积的广泛后弹力层脱离3例(含伴有部分后弹力层缺失1例),大于1/3并小于1/2角膜面积的后弹力层脱离6例(含伴有部分后弹力层缺失1例),小于1/3角膜面积的后弹力层脱离14例.所有患者均于术毕前前房注入无菌空气,利用气泡顶压脱离的后弹力层复位；后弹力层复位不良或空气吸收后仍未复位者,以同样方法再次注气.结果 前房内空气于术后3～5d吸收,20例患者经1次注气角膜恢复透明；2例经2次注气,1例经3次注气,均为脱离范围大于1/3角膜面积的患者；伴有部分后弹力层缺失的2例患者恢复较慢,最长达2个月角膜恢复透明.结论 前房注气术治疗白内障术中角膜后弹力层脱离,方法简单易行,可以重复操作,临床疗效确切.
目的 觀察前房註氣術治療白內障超聲乳化手術導緻角膜後彈力層脫離(Descemet's membrane detachment,DMD)的臨床效果.方法 迴顧分析2006年5月至2012年3月間,通過前房註氣術治療白內障超聲乳化手術導緻角膜後彈力層脫離的患者23例.其中大于1/2角膜麵積的廣汎後彈力層脫離3例(含伴有部分後彈力層缺失1例),大于1/3併小于1/2角膜麵積的後彈力層脫離6例(含伴有部分後彈力層缺失1例),小于1/3角膜麵積的後彈力層脫離14例.所有患者均于術畢前前房註入無菌空氣,利用氣泡頂壓脫離的後彈力層複位；後彈力層複位不良或空氣吸收後仍未複位者,以同樣方法再次註氣.結果 前房內空氣于術後3～5d吸收,20例患者經1次註氣角膜恢複透明；2例經2次註氣,1例經3次註氣,均為脫離範圍大于1/3角膜麵積的患者；伴有部分後彈力層缺失的2例患者恢複較慢,最長達2箇月角膜恢複透明.結論 前房註氣術治療白內障術中角膜後彈力層脫離,方法簡單易行,可以重複操作,臨床療效確切.
목적 관찰전방주기술치료백내장초성유화수술도치각막후탄력층탈리(Descemet's membrane detachment,DMD)적림상효과.방법 회고분석2006년5월지2012년3월간,통과전방주기술치료백내장초성유화수술도치각막후탄력층탈리적환자23례.기중대우1/2각막면적적엄범후탄력층탈리3례(함반유부분후탄력층결실1례),대우1/3병소우1/2각막면적적후탄력층탈리6례(함반유부분후탄력층결실1례),소우1/3각막면적적후탄력층탈리14례.소유환자균우술필전전방주입무균공기,이용기포정압탈리적후탄력층복위；후탄력층복위불량혹공기흡수후잉미복위자,이동양방법재차주기.결과 전방내공기우술후3～5d흡수,20례환자경1차주기각막회복투명；2례경2차주기,1례경3차주기,균위탈리범위대우1/3각막면적적환자；반유부분후탄력층결실적2례환자회복교만,최장체2개월각막회복투명.결론 전방주기술치료백내장술중각막후탄력층탈리,방법간단역행,가이중복조작,림상료효학절.
Objective To observe clinical effect of anterior air to treat Descemet's membrane detachment caused by Phacoemulsification cataract surgery.Methods Retrospective analysis of 23 patients who were performed anterior air for Descemet's membrane detachment during Phacoemulsification cataract surgery from May 2006 to March 2012.Three cases had greater than 1/2 of the comeal area of extensive Descemet's membrane detachment (contains missing part of the Descemet's membrane one case),6 cases had greater than 1/3 less than 1/2 of it (contains missing part of the Descemet's membrane one case),14 cases had less than 1/3 of it.All patients' anterior chamber was injected sterile air to reset detached Descemet's membrane in the end of surgery.If detached Descemet's membrane had not been reset,using the same methods.Results The air in the anterior chamber was absorbed in 3-5 days after surgery.Twenty patients' cornea became transparent after a single gas injection; corneal area of Descemet's membrane detachment was greater than 1/3 in other patients,two of them were after three gas injection,one of them was after one gas injection.Two patients' corneal Descemet's membrane recover slowly,at last became transparent until 2 months.Conclusions Anterior air can treat corneal Descemet's membrane detachment during cataract surgery.The method is simple.It can operate repeatedly.The treatment effect is exact.
