CAJ | 학술논문

目的探讨白内障术中后囊撕囊术的技巧及并发症.方法白内障310例(356只眼)行后囊中央部撕囊术.结果术后一过性高眼压51只眼,瞳孔轻度上移4只眼,瞳孔散大7只眼,虹膜萎缩伴色素沉着7只眼;3个月后眼压＜ 10 mm Hg 4只眼,人工晶状体偏位7只眼,人工晶状体脱入玻璃体2只眼.结论后囊撕囊术是预防后囊浑浊的较好方法,增加了术后视力,但也存在较难处理的并发症,需掌握好手术适应证.
목적 탐토백내장술중후낭시낭술적기교급병발증.방법 백내장310례(356지안)행후낭중앙부시낭술.결과 술후일과성고안압51지안,동공경도상이4지안,동공산대7지안,홍막위축반색소침착7지안;3개월후안압＜ 10 mm Hg 4지안,인공정상체편위7지안,인공정상체탈입파리체2지안.결론 후낭시낭술시예방후낭혼탁적교호방법,증가료술후시력,단야존재교난처리적병발증,수장악호수술괄응증.
Objective To investigate the skill and complication of posterior capsulorhexis during cataract surgery.Methods The central posterior capsulorhexis were performed on 356 eyes of 310 patients with cataract.Results After the operation,a transient increased intraocular pressure occurred in 51 eyes,the pupil light shifted up in 4 eyes,the mydriasis in 7 eyes,the iris atrophied with pigmentation in 7 eyes ; the intraocular pressure of 4 eyes was less than 10 mmHg 3 months after surgery,the intraocular lens were decentered in 7 eyes,the intraocular lens fell into the vitreous in 2 eyes.Conclusion The posterior capsulorhexis is a bettter way to prevent posterior capsule opacification,and the postoperative visual acuity increased.There are also the complications which are hard to treat.Strict surgical indications should be obeyed.