中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2015年
5期
300-303
,共4页
治疗结果%囊袋收缩综合征%囊袋松解术
治療結果%囊袋收縮綜閤徵%囊袋鬆解術
치료결과%낭대수축종합정%낭대송해술
Therapy outcome%Capsular contraction syndrom%Capsular bag relaxing surgery
目的 总结囊袋松解术(CBRS)应用于白内障超声乳化术后囊袋收缩综合征(CCS)的临床效果.方法 回顾性病例研究.对19例(19眼)白内障超声乳化术后CCS者行CBRS,其中12眼行放射状切开松解,7眼行二次连续环形撕囊法.松解术后观察术眼UCVA和BCVA,并和松解术前UCVA进行比较.裂隙灯显微镜观察前囊口透明区大小,前、后囊膜情况及IOL位置等.并了解有无主观症状如眩光或单眼复视等.术后随访6个月.松解术前后视力比较采用符号秩和检验.结果 所有术眼术后视力较术前均有不同程度的提高,眩光和单眼复视现象消失,视物清晰.手术前后视力差异有统计学意义(U=5.435,P＜0.01).裂隙灯显微镜下见囊袋收缩松解,前囊口透明区面积扩大,IOL位置稳定居中.结论 对于CCS者,CBRS可改善视力,提高视物舒适度,保持IOL位置稳定居中.
目的 總結囊袋鬆解術(CBRS)應用于白內障超聲乳化術後囊袋收縮綜閤徵(CCS)的臨床效果.方法 迴顧性病例研究.對19例(19眼)白內障超聲乳化術後CCS者行CBRS,其中12眼行放射狀切開鬆解,7眼行二次連續環形撕囊法.鬆解術後觀察術眼UCVA和BCVA,併和鬆解術前UCVA進行比較.裂隙燈顯微鏡觀察前囊口透明區大小,前、後囊膜情況及IOL位置等.併瞭解有無主觀癥狀如眩光或單眼複視等.術後隨訪6箇月.鬆解術前後視力比較採用符號秩和檢驗.結果 所有術眼術後視力較術前均有不同程度的提高,眩光和單眼複視現象消失,視物清晰.手術前後視力差異有統計學意義(U=5.435,P＜0.01).裂隙燈顯微鏡下見囊袋收縮鬆解,前囊口透明區麵積擴大,IOL位置穩定居中.結論 對于CCS者,CBRS可改善視力,提高視物舒適度,保持IOL位置穩定居中.
목적 총결낭대송해술(CBRS)응용우백내장초성유화술후낭대수축종합정(CCS)적림상효과.방법 회고성병례연구.대19례(19안)백내장초성유화술후CCS자행CBRS,기중12안행방사상절개송해,7안행이차련속배형시낭법.송해술후관찰술안UCVA화BCVA,병화송해술전UCVA진행비교.렬극등현미경관찰전낭구투명구대소,전、후낭막정황급IOL위치등.병료해유무주관증상여현광혹단안복시등.술후수방6개월.송해술전후시력비교채용부호질화검험.결과 소유술안술후시력교술전균유불동정도적제고,현광화단안복시현상소실,시물청석.수술전후시력차이유통계학의의(U=5.435,P＜0.01).렬극등현미경하견낭대수축송해,전낭구투명구면적확대,IOL위치은정거중.결론 대우CCS자,CBRS가개선시력,제고시물서괄도,보지IOL위치은정거중.
Objective To study the clinical effectiveness of capsular sac relaxing surgery (CBRS) for capsular contraction syndrome (CCS).Methods In a retrospective study,19 patients (19 eyes) who presented with CCS after cataract phacoemulsification with IOL implantation underwent CBRS.Eleven patients (11 eyes) underwent surgery for a radial incision relaxing procedure and 8 patients (8 eyes) underwent a second continuous curvilinear capsularrhexis (CCC).Uncorrected visual acuity and best corrected visual acuity of the surgically treated eyes were checked postoperatively and compared with their preoperative uncorrected vision.A slit-lamp biomicroscope was used to observe the change in the size of the transparent zone of the anterior capsule holes,the condition of the anterior and posterior capsules,and the IOL position.Patients were also assessed for whether or not they experienced subjective symptoms such as glare or simple blur.Patients were followed up for 6 months.Results There were different degrees of improvement in visual acuity postoperatively in all surgically treated eyes (Wilcoxon signed rank test,U=5.435,P＜0.01).Glare or simple blur disappeared and patients could see more clearly postoperatively.Slit-lamp examination showed that the capsular sac contraction had relaxed,the sizes of the transparent zones of the anterior capsule were enlarged and the position of the IOL was stable and centered in all surgically treated eyes.Conclusion CBRS is an effective method for patients with CCS,visual acuity improved,subjective symptoms disappenred,the position of IOL stabled.
