CAJ | 학술논문

目的评价玻璃体切割联合曲安奈德染色处理白内障超声乳化术中后囊破裂,玻璃体脱出的安全性和有效性.方法回顾性分析2011年4月至2013年1月在焦作煤业(集团)有限责任公司中央医院眼科行白内障超声乳化术中后囊破裂的34例(34只眼)患者,经玻璃体切割联合曲安奈德染色,比较术前术后的视力、眼压变化,记录术后出现的并发症.结果术前术后裸眼视力之间、最佳矫正视力之间差异具有统计学意义(P＜0.05);术后第1天有19只眼眼压高于21 mmHg,术后7天内所有眼压恢复至正常范围内,其后眼压均在正常范围内;术后人工晶状体偏位4只眼,黄斑水肿2只眼.结论玻璃体切割联合曲安奈德染色玻璃体处理白内障超声乳化术中后囊破裂是一种安全有效地手术方式.
목적 평개파리체절할연합곡안내덕염색처리백내장초성유화술중후낭파렬,파리체탈출적안전성화유효성.방법 회고성분석2011년4월지2013년1월재초작매업(집단)유한책임공사중앙의원안과행백내장초성유화술중후낭파렬적34례(34지안)환자,경파리체절할연합곡안내덕염색,비교술전술후적시력、안압변화,기록술후출현적병발증.결과 술전술후라안시력지간、최가교정시력지간차이구유통계학의의(P＜0.05);술후제1천유19지안안압고우21 mmHg,술후7천내소유안압회복지정상범위내,기후안압균재정상범위내;술후인공정상체편위4지안,황반수종2지안.결론 파리체절할연합곡안내덕염색파리체처리백내장초성유화술중후낭파렬시일충안전유효지수술방식.
Objective To evaluate the safety and effectiveness of combined vitrectomy with triamcinolone stain to manage posterior capsule rupture during phacoemulsification.Methods Retrospective analysis of 34 patients with posterior capsule rupture during phacoemulsification were included,who underwent vitrectomy with triamcinolone stain vitreous.The preoperative and postoperative uncorrected visual acuity,best corrected visual acuity,and intraocular pressure changes were compared and postoperative complications were recorded.Results There was statistically significant difference between preoperative and postoperative uncorrected visual acuity (t =10.244,P ＜0.05),also between best corrected visual acuity (t =12.166,P ＜0.05).Intraocular pressure of 19 eyes was higher than 21mmHg on the first day after operation and back to normal range within 7 days,which were in normal range after 1 month.There were 4 eyes with intraocular lens dislocation and 2 eyes with macular edema.Conclusions It is a safe and effective operative method with vitrectomy and triamcinolone stain to manage posterior capsule rupture during phacoemulsification.