CAJ | 학술논문

目的：观察透明角膜切口23G 微创玻璃体手术在后发性白内障处理中的效果和安全性。方法回顾性分析黄河中心医院31例无法行 Nd：YAG 激光后囊膜切开的患者，行透明角膜切口，23G 玻璃体切割器进行晶状体后囊膜切开及前部玻璃体切除术，观察术中、术后并发症，术后视力恢复情况及患者满意度。结果31例患者中28眼（82?35％）视力明显提高，6眼（17?65％）视力保持不变。视力无变化者中2眼术后检查发现存在眼底病变，其余4眼属先天性白内障术后，患儿已形成弱视，视力提高欠佳；所有患者中除1例因手术切口位置选择不当造成人工晶状体损伤外，其余患者术中及术后均未见明显并发症，术后恢复较快较好，患者满意度高。结论对于无法行 Nd：YAG 激光的后发性白内障患者，透明角膜切口23G 微创玻璃体手术是一种安全有效的办法。
목적：관찰투명각막절구23G 미창파리체수술재후발성백내장처리중적효과화안전성。방법회고성분석황하중심의원31례무법행 Nd：YAG 격광후낭막절개적환자，행투명각막절구，23G 파리체절할기진행정상체후낭막절개급전부파리체절제술，관찰술중、술후병발증，술후시력회복정황급환자만의도。결과31례환자중28안（82?35％）시력명현제고，6안（17?65％）시력보지불변。시력무변화자중2안술후검사발현존재안저병변，기여4안속선천성백내장술후，환인이형성약시，시력제고흠가；소유환자중제1례인수술절구위치선택불당조성인공정상체손상외，기여환자술중급술후균미견명현병발증，술후회복교쾌교호，환자만의도고。결론대우무법행 Nd：YAG 격광적후발성백내장환자，투명각막절구23G 미창파리체수술시일충안전유효적판법。
Objective To observe the efficacy and safety of 23_G minimally invasive vitrectomy through the transparent corne_a incision in the posterior capsule opacification(PCO). Methods A retrospective analysis of 31 patients in yellow river central hospital which could not accept posterior capsulotomy with Nd:YAG laser was made. They were treated with posterior capsuloto_my and anterior vitrectomy through the transparent cornea incision,23_G vitreous cutter was used. The intraoperative and postop_erative complications,postoperative visual acuity recovery and patient satisfaction was observed. Results Among all patients (34 eyes),the visual acuity of 28 eyes(82. 35% )were significantly improved,and the visual acuity of 6 eyes(6 ∕ 34, 17. 65% )remains unchanged. Two of the unchanged eyes revealed retinopathy post_operation,and the other 4 eyes are postoper_ative congenital cataract,patients had formed amblyopia. Intraocular lens(IOL)damage occurred in 1 case due to improper sur_gical incision location select. There were no significant intraoperative or postoperative complications in the remaining patients.They got faster and smoothly recovery. The patient satisfaction degree was high. Conclusion For denser PCO with 23_G mini_mally,invasive vitrectomy through the transparent cornea incision is secure and effective.