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
6期
371-375
,共5页
激光,固体%囊袋收缩综合征%囊袋阻滞综合征%治疗结果
激光,固體%囊袋收縮綜閤徵%囊袋阻滯綜閤徵%治療結果
격광,고체%낭대수축종합정%낭대조체종합정%치료결과
Laser,solid%Capsular contraction syndrome%Capsular block syndrome%Therapy outcome
目的 探讨Nd∶YAG激光治疗白内障超声乳化联合折叠式人工晶状体(IOL)植入术后囊袋相关综合征的临床疗效.方法 回顾性病例对照研究.对33例(33眼)白内障超声乳化折叠式IOL植入术后囊袋相关综合征者行Nd∶YAG激光治疗.其中囊袋收缩综合征(CCS)组12例(12眼),10眼予Nd∶YAG激光前囊口纤维环放射状切开,2眼予后囊膜切开.囊袋阻滞综合征(CBS)组21例(21眼),7眼为术后早期CBS,行Nd∶YAG激光周边前囊切开术,引流囊袋内液体至前房,其中2眼联合后囊膜切开;14眼为术后晚期CBS,行Nd∶YAG激光后囊膜切开术,释放囊腔内的液体入玻璃体腔.所有病例均随访6个月及以上.数据采用配对设计符号秩和检验.结果 CCS组所有术眼术后前囊口纤维环松解,囊袋收缩消失,前囊口透明区面积增大,IOL位置居中,光学部平展,无偏位、倾斜及IOL囊袋内夹持现象.CBS组所有术眼术后IOL位置良好,后囊与IOL光学部后表面贴附无间隙,囊袋阻滞均有效解除,7眼早期CBS者瞳孔阻滞消失,前房加深,眼压恢复正常.无论CCS组或CBS组,术后裸眼视力(UCVA)均有不同程度的提高.结论 Nd∶YAG激光治疗白内障超声乳化联合折叠式IOL植入术后囊袋相关综合征疗效确切,简便安全.
目的 探討Nd∶YAG激光治療白內障超聲乳化聯閤摺疊式人工晶狀體(IOL)植入術後囊袋相關綜閤徵的臨床療效.方法 迴顧性病例對照研究.對33例(33眼)白內障超聲乳化摺疊式IOL植入術後囊袋相關綜閤徵者行Nd∶YAG激光治療.其中囊袋收縮綜閤徵(CCS)組12例(12眼),10眼予Nd∶YAG激光前囊口纖維環放射狀切開,2眼予後囊膜切開.囊袋阻滯綜閤徵(CBS)組21例(21眼),7眼為術後早期CBS,行Nd∶YAG激光週邊前囊切開術,引流囊袋內液體至前房,其中2眼聯閤後囊膜切開;14眼為術後晚期CBS,行Nd∶YAG激光後囊膜切開術,釋放囊腔內的液體入玻璃體腔.所有病例均隨訪6箇月及以上.數據採用配對設計符號秩和檢驗.結果 CCS組所有術眼術後前囊口纖維環鬆解,囊袋收縮消失,前囊口透明區麵積增大,IOL位置居中,光學部平展,無偏位、傾斜及IOL囊袋內夾持現象.CBS組所有術眼術後IOL位置良好,後囊與IOL光學部後錶麵貼附無間隙,囊袋阻滯均有效解除,7眼早期CBS者瞳孔阻滯消失,前房加深,眼壓恢複正常.無論CCS組或CBS組,術後裸眼視力(UCVA)均有不同程度的提高.結論 Nd∶YAG激光治療白內障超聲乳化聯閤摺疊式IOL植入術後囊袋相關綜閤徵療效確切,簡便安全.
목적 탐토Nd∶YAG격광치료백내장초성유화연합절첩식인공정상체(IOL)식입술후낭대상관종합정적림상료효.방법 회고성병례대조연구.대33례(33안)백내장초성유화절첩식IOL식입술후낭대상관종합정자행Nd∶YAG격광치료.기중낭대수축종합정(CCS)조12례(12안),10안여Nd∶YAG격광전낭구섬유배방사상절개,2안여후낭막절개.낭대조체종합정(CBS)조21례(21안),7안위술후조기CBS,행Nd∶YAG격광주변전낭절개술,인류낭대내액체지전방,기중2안연합후낭막절개;14안위술후만기CBS,행Nd∶YAG격광후낭막절개술,석방낭강내적액체입파리체강.소유병례균수방6개월급이상.수거채용배대설계부호질화검험.결과 CCS조소유술안술후전낭구섬유배송해,낭대수축소실,전낭구투명구면적증대,IOL위치거중,광학부평전,무편위、경사급IOL낭대내협지현상.CBS조소유술안술후IOL위치량호,후낭여IOL광학부후표면첩부무간극,낭대조체균유효해제,7안조기CBS자동공조체소실,전방가심,안압회복정상.무론CCS조혹CBS조,술후라안시력(UCVA)균유불동정도적제고.결론 Nd∶YAG격광치료백내장초성유화연합절첩식IOL식입술후낭대상관종합정료효학절,간편안전.
Objective To study the clinical effect of Nd∶YAG laser treatment for correlative capsular syndrome after cataract phacoemulsification with foldable intraocular lenses (IOL) implants.Methods This was a retrospective case-controlled study.Thirty-three patients (33 eyes) diagnosed with correlative capsular syndrome who underwent cataract phacoemulsification with foldable IOL implantation were treated with Nd∶YAG laser.Twelve eyes were in the capsular contraction syndrome (CCS) group and 21 eyes were in the capsular block syndrome (CBS) group.In the CCS group,radial cuts were made in 10 eyes for anterior capsular fibrillar contraction rings and posterior capsulotomy with Nd∶YAG laser was used in 2 eyes.Seven eyes with early postoperative CBS underwent peripheral anterior capsulotomy with Nd∶YAG laser and fluid from the capsular bag was drained into the anterior chamber.Two of them had procedures that were combined with posterior capsulotomy.Fourteen eyes in the CBS group with late postoperative CBS underwent posterior capsulotomy with Nd∶YAG laser to liberate fluid from the capsular bag into the vitreous cavity.All cases were followed up for 6 months.Results In the CCS group postoperatively,the anterior capsular fibrillar contraction rings were relaxed,capsular bag contraction disappeared,the anterior capsular transparent zones were enlarged,IOLs were in the central position,the lenses were stretched and there was no deviation in IOL tilt or capsular bag capture.In the CBS group postoperatively,IOLs were in good position,the posterior capsules were attached to the posterior surface of the lenses without spaces,and capsular bag block was relieved effectively.Pupillary block had disappeared,the depth of the anterior chamber had deepened and IOP was normal in all 7 eyes with early CBS.Uncorrected visual acuity (UCVA) improved at different degrees postoperatively in the CBS and CCS groups.Conclusion Nd∶YAG laser is a good choice for correlative capsular syndrome after cataract phacoemulsification with foldable IOL implantation.It has a definite clinical effect and is a simple and safe procedure.
