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
2015年
2期
152-154
,共3页
综合征,囊袋收缩%前囊切开术,激光%松解术,囊袋
綜閤徵,囊袋收縮%前囊切開術,激光%鬆解術,囊袋
종합정,낭대수축%전낭절개술,격광%송해술,낭대
Syndrome,contraction,capsule%Capsulotomy,anterior,Nd : YAG laser%Capsulolysis
目的 探讨白内障晶状体超声乳化术后囊袋收缩综合征的治疗方法和效果.方法 对19例(19眼)超声乳化术后初发型和进展型囊袋收缩综合征施行Nd:YAG激光前囊切开术,重度囊袋收缩综合征采用囊袋松解手术.术后随访1～6个月,观察术后最佳矫正视力、前房反应、前囊状态、人工晶状体位置及眼压.结果 术后所有病例的最佳矫正视力均较术前提高,差异有统计学意义;术后1个月、6个月的眼压较术前无明显升高,差异无统计学意义;术后1个月与6个月眼压比较差异亦无统计学意义;Nd:YAG激光前囊切开术与囊袋松解手术术后眼压比较差异无统计学意义;术后前囊光学区直径5.5～6 mm,较术前明显开大;人工晶状体全部位于囊袋内,无倾斜或偏离视轴者;前房反应轻,无囊袋破裂或悬韧带断离等严重并发症.结论 Nd:YAG激光前囊切开术和囊袋松解术是治疗晶状体超声乳化术后囊袋收缩综合征安全、有效的方法.Nd:YAG激光前囊切开术适合治疗初发型和进展型,囊袋松解术适合治疗重度型.
目的 探討白內障晶狀體超聲乳化術後囊袋收縮綜閤徵的治療方法和效果.方法 對19例(19眼)超聲乳化術後初髮型和進展型囊袋收縮綜閤徵施行Nd:YAG激光前囊切開術,重度囊袋收縮綜閤徵採用囊袋鬆解手術.術後隨訪1～6箇月,觀察術後最佳矯正視力、前房反應、前囊狀態、人工晶狀體位置及眼壓.結果 術後所有病例的最佳矯正視力均較術前提高,差異有統計學意義;術後1箇月、6箇月的眼壓較術前無明顯升高,差異無統計學意義;術後1箇月與6箇月眼壓比較差異亦無統計學意義;Nd:YAG激光前囊切開術與囊袋鬆解手術術後眼壓比較差異無統計學意義;術後前囊光學區直徑5.5～6 mm,較術前明顯開大;人工晶狀體全部位于囊袋內,無傾斜或偏離視軸者;前房反應輕,無囊袋破裂或懸韌帶斷離等嚴重併髮癥.結論 Nd:YAG激光前囊切開術和囊袋鬆解術是治療晶狀體超聲乳化術後囊袋收縮綜閤徵安全、有效的方法.Nd:YAG激光前囊切開術適閤治療初髮型和進展型,囊袋鬆解術適閤治療重度型.
목적 탐토백내장정상체초성유화술후낭대수축종합정적치료방법화효과.방법 대19례(19안)초성유화술후초발형화진전형낭대수축종합정시행Nd:YAG격광전낭절개술,중도낭대수축종합정채용낭대송해수술.술후수방1～6개월,관찰술후최가교정시력、전방반응、전낭상태、인공정상체위치급안압.결과 술후소유병례적최가교정시력균교술전제고,차이유통계학의의;술후1개월、6개월적안압교술전무명현승고,차이무통계학의의;술후1개월여6개월안압비교차이역무통계학의의;Nd:YAG격광전낭절개술여낭대송해수술술후안압비교차이무통계학의의;술후전낭광학구직경5.5～6 mm,교술전명현개대;인공정상체전부위우낭대내,무경사혹편리시축자;전방반응경,무낭대파렬혹현인대단리등엄중병발증.결론 Nd:YAG격광전낭절개술화낭대송해술시치료정상체초성유화술후낭대수축종합정안전、유효적방법.Nd:YAG격광전낭절개술괄합치료초발형화진전형,낭대송해술괄합치료중도형.
Objective To investigate the treatment method for capsule contraction syndrome after cataract phacoemulsification.Methods A series of 19 eyes of 19 cases with capsule contraction syndrome after cataract phacoemulsification were investigated.Patients in incipient and progressive stage of capsule contraction syndrome were treated by Nd:YAG laser anterior capsulotomy,and severe ones were treated by capsulolysis.The postoperative best corrected visual acuity,anterior chamber reaction,anterior capsule status,location of IOL and intraocular pressure (IOP) were observed during following up period of 1 to 6 months.Results The best corrected visual acuity after operation were significantly improved in all cases comparing with that before the operation,and the difference was statistically significant (P ＜ 0.05).The IOP at postoperative 1 and 6 months were not significantly increased compared with that before operation,and the difference was not statistically significant(P ＞ 0.05).The difference of IOP between postoperative 1 month and 6 month was not statistically significant either(P ＞ 0.05) ; The difference of postoperative IOP between Nd:YAG laser anterior capsulotomy and anterior capsulolysis was not statistically significant (P ＞ 0.05).The diameter of anterior capsular optical zone ranged from 5.5 to 6 mm.All intraocular lens situated within the capsular bag without decentration or tilt.Anterior chamber reaction was mild.No capsular rupture,zonule tears or other severe complication were observed.Conclusion Nd:YAG laser anterior capsulotomy and capsulolysis are safe and effective for the treatment of capsule contraction syndrome.Nd:YAG laser anterior capsulotomy is suitable for the treatment of incipient and progressive stage of capsule contraction syndrome.The capsulolysis is suitable for the treatment of severe capsule contraction syndrome.
