中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2014年
2期
131-133
,共3页
超声乳化吸出术%晶状体,人工%轴,短眼
超聲乳化吸齣術%晶狀體,人工%軸,短眼
초성유화흡출술%정상체,인공%축,단안
Phacoemulsification%Lens,intraocular%Axis,eye,short
目的 分析短跟轴白内障行超声乳化吸出术的难点及常见并发症.方法 眼轴长度＜ 22 mm的白内障行晶状体超声乳化吸出22例(31眼),进行回顾性分析.结果 术后1个月视力1.0～1.2(5眼)者占16.13％,0.5～0.8(22眼)者占70.97％;术中晶状体后囊破裂(2眼)发生率为6.45％;术后炎性反应明显,角膜可逆性水肿(10眼)发生率为32.26％.结论 短跟轴白内障前房浅、眼前段组织空间狭小、玻璃体压力高,手术难度大;强调切口规范,应用手法碎核技术和低能量、高吸引力超声乳化技术,提高超声乳化操作的有效性.
目的 分析短跟軸白內障行超聲乳化吸齣術的難點及常見併髮癥.方法 眼軸長度＜ 22 mm的白內障行晶狀體超聲乳化吸齣22例(31眼),進行迴顧性分析.結果 術後1箇月視力1.0～1.2(5眼)者佔16.13％,0.5～0.8(22眼)者佔70.97％;術中晶狀體後囊破裂(2眼)髮生率為6.45％;術後炎性反應明顯,角膜可逆性水腫(10眼)髮生率為32.26％.結論 短跟軸白內障前房淺、眼前段組織空間狹小、玻璃體壓力高,手術難度大;彊調切口規範,應用手法碎覈技術和低能量、高吸引力超聲乳化技術,提高超聲乳化操作的有效性.
목적 분석단근축백내장행초성유화흡출술적난점급상견병발증.방법 안축장도＜ 22 mm적백내장행정상체초성유화흡출22례(31안),진행회고성분석.결과 술후1개월시력1.0～1.2(5안)자점16.13％,0.5～0.8(22안)자점70.97％;술중정상체후낭파렬(2안)발생솔위6.45％;술후염성반응명현,각막가역성수종(10안)발생솔위32.26％.결론 단근축백내장전방천、안전단조직공간협소、파리체압력고,수술난도대;강조절구규범,응용수법쇄핵기술화저능량、고흡인력초성유화기술,제고초성유화조작적유효성.
Objective To analyze the operative difficulty and complications of cataract phacoemulsification in eyes with short axial length.Methods A retrospective study was performed to analyze 31 eyes of 22 patients who had undergone phacomulsification.Their ocular axial lengths were less than 22.00 mm.Results One month postoperatively,the visual acuities (VA) at 0.5-0.8 were in 22 eyes (70.97％) and ≥ 1.0 were in 5 eyes (16.13％).The rate of posterior capsular rupture was 6.45％.The postoperative inflammatory reaction was severe.The rate of reversible corneal edema was 32.26％.Conclusion The patients with shorter ocular axis had shallow anterior chamber,narrower anterior ocular segment and high vitreous pressure,the operation was difficult to perform.It is emphasized that the correct technique of incision,application of chopping and breaking nucleus technique,low energy and high aspiration are the key procedures for effective phacoemulsification to obtain satisfactory operative results.
