国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
1期
83-85
,共3页
白内障超声乳化术%后囊破裂%后囊连续环形撕囊
白內障超聲乳化術%後囊破裂%後囊連續環形撕囊
백내장초성유화술%후낭파렬%후낭련속배형시낭
? KEYWORDS：phacoemulsification%posterior capsular rupture%posterior continuous curvilinear capsulorhexis
目的：：观察白内障超声乳化术中出现后囊破裂行后囊连续环形撕囊( PCCC)的临床效果。方法：对2013-03/10的38例38眼年龄相关性白内障患者行白内障超声乳化，术中出现后囊破裂的患者行后囊连续环形撕囊联合人工晶状体植入术；同期随机选择50例50眼年龄相关性白内障患者行白内障超声乳化联合人工晶状体植入术作为对照组，比较两组患者术后视力及其术后并发症情况，随访3 mo。结果：两组患者术后第1d视力、角膜水肿差异有统计学意义(P<0.05)，术后3mo视力及角膜水肿差异无统计学意义(P>0.05)；术后第1d眼压升高差异无统计学意义(P>0.05)，术后3mo瞳孔及黄斑囊样水肿、视网膜脱离差异无统计学意义。结论：对于超声乳化术中发生后囊破裂的患者术中及时使用后囊连续环形撕除，能减少术后并发症发生，有效提高白内障术后效果。
目的：：觀察白內障超聲乳化術中齣現後囊破裂行後囊連續環形撕囊( PCCC)的臨床效果。方法：對2013-03/10的38例38眼年齡相關性白內障患者行白內障超聲乳化，術中齣現後囊破裂的患者行後囊連續環形撕囊聯閤人工晶狀體植入術；同期隨機選擇50例50眼年齡相關性白內障患者行白內障超聲乳化聯閤人工晶狀體植入術作為對照組，比較兩組患者術後視力及其術後併髮癥情況，隨訪3 mo。結果：兩組患者術後第1d視力、角膜水腫差異有統計學意義(P<0.05)，術後3mo視力及角膜水腫差異無統計學意義(P>0.05)；術後第1d眼壓升高差異無統計學意義(P>0.05)，術後3mo瞳孔及黃斑囊樣水腫、視網膜脫離差異無統計學意義。結論：對于超聲乳化術中髮生後囊破裂的患者術中及時使用後囊連續環形撕除，能減少術後併髮癥髮生，有效提高白內障術後效果。
목적：：관찰백내장초성유화술중출현후낭파렬행후낭련속배형시낭( PCCC)적림상효과。방법：대2013-03/10적38례38안년령상관성백내장환자행백내장초성유화，술중출현후낭파렬적환자행후낭련속배형시낭연합인공정상체식입술；동기수궤선택50례50안년령상관성백내장환자행백내장초성유화연합인공정상체식입술작위대조조，비교량조환자술후시력급기술후병발증정황，수방3 mo。결과：량조환자술후제1d시력、각막수종차이유통계학의의(P<0.05)，술후3mo시력급각막수종차이무통계학의의(P>0.05)；술후제1d안압승고차이무통계학의의(P>0.05)，술후3mo동공급황반낭양수종、시망막탈리차이무통계학의의。결론：대우초성유화술중발생후낭파렬적환자술중급시사용후낭련속배형시제，능감소술후병발증발생，유효제고백내장술후효과。
Abstract? AlM: To observe the clinical effect of posterior continuous curvilinear capsulorhexis ( PCCC ) in phacoemulsification with posterior capsular rupture.?METHODS: Thrity-eight age-related cataract patients (38 eyes) from March 2013 to October 2013 were selected as experimental group and 50 age - related cataract patients ( 50 eyes ) from March 2013 to October 2013 as control group. ln experimental group, PCCC were used in the intraoperative posterior capsule tears in phacoemulsification. And in control group phacoemulsification was applied. The visual acuity and surgical complications were compared between two groups, the follow-up period was continued to 3mo after operation.?RESULTS: The visual acuity and corneal edema in two groups had statistically significant ( P<0. 05 ) at 1d after operation. Three months after operation, the visual acuity and corneal edema in two groups was not statistically significant ( P > 0. 05 ). At 1d after operation, the intraocular pressure in two groups was not statistically significant (P>0. 05). Three months after operation, the pupil and cystoid macular edema, retinal detachment in two groups was not statistically significant (P>0. 05).?CONCLUSlON:PCCC can improve the therapeutic effect and prevent surgical complications for phacoemulsification with posterior capsular rupture.
