国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1145-1147
,共3页
连续环形撕囊%悬韧带%手法小切口白内障手术%脱核
連續環形撕囊%懸韌帶%手法小切口白內障手術%脫覈
련속배형시낭%현인대%수법소절구백내장수술%탈핵
continuous curvilinear capsulorhexis%zonular area%manual small incision cataract surgery%prolapse of nucleus
目的：探讨在手法小切口白内障术中超出无悬韧带区域的连续环形撕囊的安全性及有效性。<br> 方法：采用手法无缝线白内障囊外摘除术对住院1443例1965眼白内障患者进行手术,术中采用连续环形撕囊法制作7~8mm直径前囊口,对患者术中撕囊是否成功、后囊破裂、术后角膜水肿及视力等情况进行统计学分析,研究其手术价值。<br> 结果：患者1965眼中,1942眼(98.83%)连续撕囊成功；15眼(0.76%)囊膜瓣向周边撕裂不能挽救,留有放射状裂口一个；8眼(0.41%)因为囊膜钙化机化等原因无法常规撕囊,采用囊膜剪开及截囊等方法完成前囊开口。所有病例,均无后囊破裂发生,并顺利植入人工晶状体。术后一过性角膜水肿36眼(1.83%)。术后1d,视力≥0.5者1650眼(83.97%),≥0.3者1867眼(95.01%)。人工晶状体位置正并且稳定。<br> 结论：在手法白内障术中用连续环形撕囊方法制作累及悬韧带区域的大于常规直径的前囊口,并未降低囊袋和人工晶状体的稳定性,使手术安全性提高,值得推广和应用。
目的：探討在手法小切口白內障術中超齣無懸韌帶區域的連續環形撕囊的安全性及有效性。<br> 方法：採用手法無縫線白內障囊外摘除術對住院1443例1965眼白內障患者進行手術,術中採用連續環形撕囊法製作7~8mm直徑前囊口,對患者術中撕囊是否成功、後囊破裂、術後角膜水腫及視力等情況進行統計學分析,研究其手術價值。<br> 結果：患者1965眼中,1942眼(98.83%)連續撕囊成功；15眼(0.76%)囊膜瓣嚮週邊撕裂不能輓救,留有放射狀裂口一箇；8眼(0.41%)因為囊膜鈣化機化等原因無法常規撕囊,採用囊膜剪開及截囊等方法完成前囊開口。所有病例,均無後囊破裂髮生,併順利植入人工晶狀體。術後一過性角膜水腫36眼(1.83%)。術後1d,視力≥0.5者1650眼(83.97%),≥0.3者1867眼(95.01%)。人工晶狀體位置正併且穩定。<br> 結論：在手法白內障術中用連續環形撕囊方法製作纍及懸韌帶區域的大于常規直徑的前囊口,併未降低囊袋和人工晶狀體的穩定性,使手術安全性提高,值得推廣和應用。
목적：탐토재수법소절구백내장술중초출무현인대구역적련속배형시낭적안전성급유효성。<br> 방법：채용수법무봉선백내장낭외적제술대주원1443례1965안백내장환자진행수술,술중채용련속배형시낭법제작7~8mm직경전낭구,대환자술중시낭시부성공、후낭파렬、술후각막수종급시력등정황진행통계학분석,연구기수술개치。<br> 결과：환자1965안중,1942안(98.83%)련속시낭성공；15안(0.76%)낭막판향주변시렬불능만구,류유방사상렬구일개；8안(0.41%)인위낭막개화궤화등원인무법상규시낭,채용낭막전개급절낭등방법완성전낭개구。소유병례,균무후낭파렬발생,병순리식입인공정상체。술후일과성각막수종36안(1.83%)。술후1d,시력≥0.5자1650안(83.97%),≥0.3자1867안(95.01%)。인공정상체위치정병차은정。<br> 결론：재수법백내장술중용련속배형시낭방법제작루급현인대구역적대우상규직경적전낭구,병미강저낭대화인공정상체적은정성,사수술안전성제고,치득추엄화응용。
AIM:To evaluate the efficacy and safety of large sized continuous curvilinear capsulorhexis ( CCC ) involving zonular area in manual small incision cataract surgery ( MSICS) . <br> METHODS:Totally 1 443 cataract patients ( 1 965 eyes ) underwent MSICS, in which large CCC up to 7-8mm were performed . The related conditions such as success rate of performing CCC, capsule rupture, corneal edema and visual acuity after surgery were recorded and statistically analyzed. <br> RESULTS:In total of 1 965 eyes, 1 942 eyes ( 98. 83%) had successful CCC, 15 eyes (0. 76%) had a radial tear which could not be saved when performing CCC, 8 eyes (0. 41%) had anterior capsule opened with a cystotome or a scissor due to capsule membrane calcification. No posterior capsule rupture occurred, and intraocular lens was transplanted in all cases. Transient corneal edema was noted in 36 eyes (1. 83%). One day after surgery, 1650 eyes (83. 97%) had visual acuity ≥0. 5, 1867 eyes (95. 01%) ≥0. 3. No unstable intraocular lens was noted in all cases. <br> CONCLUSION:Large CCC technique for MSICS is safe and reliable, not decreasing stability capsular bag and intraocular lens. It is of high originality despite zonular area is involved so that it is worthy of application in basic medical institutions.
