CAJ | 학술논문

探讨高频透热电撕囊器在过熟期白内障超声乳化术的应用效果。方法选取过熟期白内障患者63例（63只眼）行白内障超声乳化人工晶状体植入术，随机分为两组。 A组（常规撕囊镊连续环形撕囊）25例，B组（高频透热电撕囊）38例，对两组撕囊成功率、晶状体囊袋内植入率、术后视力、角膜水肿情况进行比较。结果 B组比A组的撕囊成功率及晶状体囊袋内植入率明显高。 A组与B组裸眼视力、角膜水肿情况无显著差异。结论高频透热电撕囊器撕囊成功率高，对术后角膜水肿影响小，术后视力恢复快。
탐토고빈투열전시낭기재과숙기백내장초성유화술적응용효과。방법선취과숙기백내장환자63례（63지안）행백내장초성유화인공정상체식입술，수궤분위량조。 A조（상규시낭섭련속배형시낭）25례，B조（고빈투열전시낭）38례，대량조시낭성공솔、정상체낭대내식입솔、술후시력、각막수종정황진행비교。결과 B조비A조적시낭성공솔급정상체낭대내식입솔명현고。 A조여B조라안시력、각막수종정황무현저차이。결론고빈투열전시낭기시낭성공솔고，대술후각막수종영향소，술후시력회복쾌。
Objective To study the efficacy of capsulorhexis using high frequency electrical capsulotomy instru -ments in phacoemulsification of hypermature cataract .Methods Sixty-three cases of hypermature cataract were selected in this study.Patients were assigned randomly into 2 groups.Twenty-five patients received routine continuous circular capsu-lorhexis with forceps (group A) while other 38 patients (group B) received high frequency electrical capsulorhexis with e-lectrical capsulotomy instruments .We compared success rate of capsulorhexis and IOL intracapsular embed , visual acuity , and incidence of corneal edema between two groups .Results Success rate of capsulorhexis and IOL intracapsular embed was significantly higher in group B than in group A .There was no difference in visual acuity and corneal edema incidence between the two groups .Conclusion The use of high frequency electrical capsulotomy instruments demonstrated a higher success rate of capsulorhexis and IOL intracapsular embed , and milder corneal edema and faster recovery of postoperative visual acuity .