CAJ | 학술논문

目的探讨应用黏弹剂冲洗针冲洗抛光治疗后发性白内障的疗效.方法对2009年10月至2012年6月在襄阳市军工医院眼科就诊的107例(156只眼)后发性白内障患者采用黏弹剂冲洗针冲洗抛光治疗,分析手术前后患者的视力变化和并发症的情况.结果所有病例都成功去除后囊膜混浊,视力提高.裸眼视力由术前平均(4.11±0.21),增加到术后平均(4.61±0.15).并发症:术后出现穿刺口水肿47只眼(30.13％),一过性眼压升高13只眼(8.33％);前房出血3只眼(1.92％);后囊破裂2只眼(1.28％).术中无人工晶状体损伤、移位及脱位;随访未发现视网膜脱离.结论黏弹剂冲洗针冲洗抛光治疗后发性白内障后囊膜混浊,效果肯定,并发症少,可以作为治疗后发性白内障的一种选择.
목적 탐토응용점탄제충세침충세포광치료후발성백내장적료효.방법 대2009년10월지2012년6월재양양시군공의원안과취진적107례(156지안)후발성백내장환자채용점탄제충세침충세포광치료,분석수술전후환자적시력변화화병발증적정황.결과 소유병례도성공거제후낭막혼탁,시력제고.라안시력유술전평균(4.11±0.21),증가도술후평균(4.61±0.15).병발증:술후출현천자구수종47지안(30.13％),일과성안압승고13지안(8.33％);전방출혈3지안(1.92％);후낭파렬2지안(1.28％).술중무인공정상체손상、이위급탈위;수방미발현시망막탈리.결론 점탄제충세침충세포광치료후발성백내장후낭막혼탁,효과긍정,병발증소,가이작위치료후발성백내장적일충선택.
Objective To investigate the clinical effects and complications of posterior capsule polishing surgery using ophthalmic viscoelastic agent and blunt syringe needle.Methods Visual acuity and complications in 107 patients (156 eyes) were analyzed after posterior capsule polishing along with usage of viscoelastic agent in Jungong Hospital of Xiangyang from October 2009 to June 2012.Results In all patients posterior capsule was clear and the visual acuities were improved postoperatively.The average naked visual acuity improved from (4.11~0.21) preoperatively to (4.61~0.15) post-operatively.Shift and decentration of intraocular lens and retina detachment were not found.Intraocular pressure of 13 eyes increased for a short time,hyphema appeared in 3 eyes,posterior capsule ruptured in 2 eyes.Conclusions Posterior capsule polishing surgery is effective and has less complications of posterior eye segment.It is a choice of posterior capsule polishing surgery using ophthalmic viscoelastic agent and blunt syringe needle.