CAJ | 학술논문

目的探讨微切口改良前囊环形切开术治疗白内障超声乳化术后并发严重囊袋收缩综合征的安全性和有效性.方法采用微切口改良前囊环形切开术治疗21例23只眼白内障超声乳化术后并发的严重囊袋收缩综合征于术前及术后1周、1个月、3个月、6个月、12个月,随访视力、屈光状态、人工晶状体位置、前囊状态及眼压.结果所有病例最佳矫正视力好于术前,无明显眼压升高、无明显术源性散光,前囊光学区直径5～5.5 mm,常瞳下无前囊边缘遮挡,人工晶状体全部位于囊袋内,无倾斜及偏离视轴,无悬韧带离断及囊袋破裂等严重并发症.结论微切口改良前囊环形切开术安全、经济、易行,是治疗白内障超声乳化术后严重囊袋收缩综合征的理想方法.
목적 탐토미절구개량전낭배형절개술치료백내장초성유화술후병발엄중낭대수축종합정적안전성화유효성.방법 채용미절구개량전낭배형절개술치료21례23지안백내장초성유화술후병발적엄중낭대수축종합정우술전급술후1주、1개월、3개월、6개월、12개월,수방시력、굴광상태、인공정상체위치、전낭상태급안압.결과 소유병례최가교정시력호우술전,무명현안압승고、무명현술원성산광,전낭광학구직경5～5.5 mm,상동하무전낭변연차당,인공정상체전부위우낭대내,무경사급편리시축,무현인대리단급낭대파렬등엄중병발증.결론 미절구개량전낭배형절개술안전、경제、역행,시치료백내장초성유화술후엄중낭대수축종합정적이상방법.
Objective To investigate the safety and efficacy of modified small incision circular anterior capsulotomy for the treatment of severe complicated capsule contraction syndrome after phacoemulsification.Methods Twenty-one cases (23 eyes) of severe complicated capsule contraction syndrome after phacoemulsification were treated with modified small incision circular anterior capsulotomy.The visual acuity,refractive condition,position of intraocular lens,diameter of the anterior capsule opening and intraocular pressure were measured before and 1 week,1 month,3 months,6months,and 12 months after operation,respectively.Results All the eyes obtained better best-corrected visual acuity after treatment,without obvious increased in intraocular pressure,surgically induced astigmatism,or residual capsule under the condition of normal pupil.The optical zone diameter of anterior capsule ranged between 5 and 5.5 mm.All intraocular lens situated within the capsule without decentration or tilt.No rupture of the zonules,rupture of the capsule or other severe complication was observed.Conclusions Modified small incision circular anterior capsulotomy is a safe,economic and effective method to treat severe complicated capsule contraction syndrome after phacoemulsification.