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
4期
317-320
,共4页
白内障%手术%诊断%脱离,角膜后弹力层%填充,气泡
白內障%手術%診斷%脫離,角膜後彈力層%填充,氣泡
백내장%수술%진단%탈리,각막후탄력층%전충,기포
Diagnosis%Detachment,Descemet membrane%Cataract%Surgery%Tamponade,air bubble
角膜后弹力层脱离是一种发生率小但可致盲的眼内手术并发症,其高危因素主要包括解剖结构的特殊性、手术操作的刺激、术中灌注液或黏弹剂的错误使用、手术器械不达标或重复使用,以及术者操作欠娴熟等.早期诊断与及时治疗对预后具有关键意义.主要治疗策略包括保守治疗、前房气体填塞、前房注射黏弹剂、手法复位、缝合、后弹力层置换及穿透性角膜移植等.本文对白内障术后角膜后弹力层脱离的临床特点、发生原因、治疗方法等进行综述.
角膜後彈力層脫離是一種髮生率小但可緻盲的眼內手術併髮癥,其高危因素主要包括解剖結構的特殊性、手術操作的刺激、術中灌註液或黏彈劑的錯誤使用、手術器械不達標或重複使用,以及術者操作欠嫻熟等.早期診斷與及時治療對預後具有關鍵意義.主要治療策略包括保守治療、前房氣體填塞、前房註射黏彈劑、手法複位、縫閤、後彈力層置換及穿透性角膜移植等.本文對白內障術後角膜後彈力層脫離的臨床特點、髮生原因、治療方法等進行綜述.
각막후탄력층탈리시일충발생솔소단가치맹적안내수술병발증,기고위인소주요포괄해부결구적특수성、수술조작적자격、술중관주액혹점탄제적착오사용、수술기계불체표혹중복사용,이급술자조작흠한숙등.조기진단여급시치료대예후구유관건의의.주요치료책략포괄보수치료、전방기체전새、전방주사점탄제、수법복위、봉합、후탄력층치환급천투성각막이식등.본문대백내장술후각막후탄력층탈리적림상특점、발생원인、치료방법등진행종술.
Descemet membrane detachment (DMD) is an uncommon but potentially serious complication of intraocular surgeries such as cataract surgery.The high risk factors of DMD includes particularity of anatomical structures,surgical stimulation,irrigation/ aspiration and viscoelastic material factors,suboptimal instruments,and poor skilled surgeon.Management options for this surgical complication include conservative treatment,hypertonic saline with topical steroids,transcomeal suturing,pneumatic descemetopexy (intracameral injection of air or another gas),intracameral injection of viscoelastic material,endothelial or penetrating keratoplasty.Diagnosis and appropriate treatment at early stage is critical for prognosis.In this paper,a systematic review of published trials was conducted to discuss the causes and therapeutic measures of Descemet membrane detachment after cataract surgery.
