中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
5期
603-605
,共3页
白色白内障%二次撕囊%吲哚青绿%超声乳化
白色白內障%二次撕囊%吲哚青綠%超聲乳化
백색백내장%이차시낭%신타청록%초성유화
Two-stage capsulorhexis%White cataract%Dye%Phacoemulsification
目的 探讨吲哚青绿辅助下二次撕囊法在白色白内障超声乳化术中的安全性和可靠性.方法 取29例30只眼,前房注入黏弹剂,将吲哚青绿(2.5 mg/ml)均匀涂遍前囊膜.用撕囊针在前囊膜中央划开一个小瓣,伸入黏弹剂针头至囊膜下,抽出部分囊袋内乳化皮质,再用撕囊针撕出一个直径约为2 mm左右的小囊口,抛光针头轻轻冲洗囊袋内皮质,往前房注入黏弹剂,剪开囊口,撕囊镊撕除一圈囊膜条,形成一个大小合适的囊口,常规行超声乳化吸除白内障.结果 1只眼第一次撕囊后抛光针冲洗皮质时过分深入囊袋内,冲洗动作偏大,囊口右侧裂开,被及时发现,立即行第二次撕囊,囊口完整.其余29只眼均顺利完成二次撕囊,30只眼均囊袋内植入人工晶状体.结论 吲哚青绿辅助二次撕囊法可以显著降低白色白内障撕囊的难度,使这种高危囊膜变得象普通囊膜一样易于操作和控制.
目的 探討吲哚青綠輔助下二次撕囊法在白色白內障超聲乳化術中的安全性和可靠性.方法 取29例30隻眼,前房註入黏彈劑,將吲哚青綠(2.5 mg/ml)均勻塗遍前囊膜.用撕囊針在前囊膜中央劃開一箇小瓣,伸入黏彈劑針頭至囊膜下,抽齣部分囊袋內乳化皮質,再用撕囊針撕齣一箇直徑約為2 mm左右的小囊口,拋光針頭輕輕遲洗囊袋內皮質,往前房註入黏彈劑,剪開囊口,撕囊鑷撕除一圈囊膜條,形成一箇大小閤適的囊口,常規行超聲乳化吸除白內障.結果 1隻眼第一次撕囊後拋光針遲洗皮質時過分深入囊袋內,遲洗動作偏大,囊口右側裂開,被及時髮現,立即行第二次撕囊,囊口完整.其餘29隻眼均順利完成二次撕囊,30隻眼均囊袋內植入人工晶狀體.結論 吲哚青綠輔助二次撕囊法可以顯著降低白色白內障撕囊的難度,使這種高危囊膜變得象普通囊膜一樣易于操作和控製.
목적 탐토신타청록보조하이차시낭법재백색백내장초성유화술중적안전성화가고성.방법 취29례30지안,전방주입점탄제,장신타청록(2.5 mg/ml)균균도편전낭막.용시낭침재전낭막중앙화개일개소판,신입점탄제침두지낭막하,추출부분낭대내유화피질,재용시낭침시출일개직경약위2 mm좌우적소낭구,포광침두경경충세낭대내피질,왕전방주입점탄제,전개낭구,시낭섭시제일권낭막조,형성일개대소합괄적낭구,상규행초성유화흡제백내장.결과 1지안제일차시낭후포광침충세피질시과분심입낭대내,충세동작편대,낭구우측렬개,피급시발현,립즉행제이차시낭,낭구완정.기여29지안균순리완성이차시낭,30지안균낭대내식입인공정상체.결론 신타청록보조이차시낭법가이현저강저백색백내장시낭적난도,사저충고위낭막변득상보통낭막일양역우조작화공제.
Objective To examine the efficacy of two stage capsulorhexis assisted by indocyanine green in cases of white cataract phacoemulsification.Methods Thirty eyes of 29 patients with white cataract were retrospectively reviewed.0.25％ indocyanine green was evenly spread on the anterior capsular membrane.After the anterior chamber was filled with viscoelastic,a small circular continuous capsuorhexis was made with needle.Irrigatoin was performed through the small capsulotomy to remove positive intralenticular pressure.A tangential cut on the left side of the capsulotomy was made with a scissors.The second continuous capsulotomy was accomplished with forceps.Results CCC was successfully accomplished in 30 eyes.In one eye,the first small continuous capsulotomy was rubbed off by excessively deep probing with the irrigation needle.The tear was found promptly and a second continuous capsulotomy was successfully performed with forceps.Conclusions Two stage capsulorhexis assisted with indocyanine green is effective in white cataract phacoemulsification.
