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
8期
566-569
,共4页
徐巍华%华佩炎%章玉群%赵晨
徐巍華%華珮炎%章玉群%趙晨
서외화%화패염%장옥군%조신
白内障%囊袋收缩综合征%激光前囊切开术%眼压
白內障%囊袋收縮綜閤徵%激光前囊切開術%眼壓
백내장%낭대수축종합정%격광전낭절개술%안압
Cataract%Capsule contraction syndrome%Laser anterior capsulotomy%Intraocular pressure
目的 观察Nd∶ YAG激光前囊切开术治疗人工晶状体植入术后囊袋收缩综合征的临床效果.方法 85例(85只眼)白内障超声乳化联合人工晶状体植入术后囊袋收缩综合征,行Nd∶YAG激光前囊切开术.记录激光术前1d和术后1周最佳矫正视力,最小囊口直径,角膜内皮细胞计数和眼压.并随访6个月.结果 85例(85只眼)Nd∶YAG激光前囊切开术术后前囊口收缩环均被打开,囊袋收缩缓解,无严重并发症.术后1周,最佳矫正视力≥0.3者由术前的43只眼增至52只眼;术后最小囊口直径较术前显著增加,由(1.91±1.52)mm增至(4.33±1.92) mm(t=7.45,P=0.00);角膜内皮细胞密度与术前比较无明显改变,术前(2304±202)个/mm2,术后(2281±234)个/mm2(t=1.03,P=0.15),术后1周的眼压与术前比较无明显改变;术前(15.53±4.34) mmHg,术后(15.76 ±4.49) mmHg(1mmHg =0.133 kPa),(t=0.62,P=0.27).随访6个月,无人工晶状体移位.结论 Nd∶YAG激光前囊切开术是治疗囊袋收缩综合征的有效方法,早期手术未发现严重并发症.
目的 觀察Nd∶ YAG激光前囊切開術治療人工晶狀體植入術後囊袋收縮綜閤徵的臨床效果.方法 85例(85隻眼)白內障超聲乳化聯閤人工晶狀體植入術後囊袋收縮綜閤徵,行Nd∶YAG激光前囊切開術.記錄激光術前1d和術後1週最佳矯正視力,最小囊口直徑,角膜內皮細胞計數和眼壓.併隨訪6箇月.結果 85例(85隻眼)Nd∶YAG激光前囊切開術術後前囊口收縮環均被打開,囊袋收縮緩解,無嚴重併髮癥.術後1週,最佳矯正視力≥0.3者由術前的43隻眼增至52隻眼;術後最小囊口直徑較術前顯著增加,由(1.91±1.52)mm增至(4.33±1.92) mm(t=7.45,P=0.00);角膜內皮細胞密度與術前比較無明顯改變,術前(2304±202)箇/mm2,術後(2281±234)箇/mm2(t=1.03,P=0.15),術後1週的眼壓與術前比較無明顯改變;術前(15.53±4.34) mmHg,術後(15.76 ±4.49) mmHg(1mmHg =0.133 kPa),(t=0.62,P=0.27).隨訪6箇月,無人工晶狀體移位.結論 Nd∶YAG激光前囊切開術是治療囊袋收縮綜閤徵的有效方法,早期手術未髮現嚴重併髮癥.
목적 관찰Nd∶ YAG격광전낭절개술치료인공정상체식입술후낭대수축종합정적림상효과.방법 85례(85지안)백내장초성유화연합인공정상체식입술후낭대수축종합정,행Nd∶YAG격광전낭절개술.기록격광술전1d화술후1주최가교정시력,최소낭구직경,각막내피세포계수화안압.병수방6개월.결과 85례(85지안)Nd∶YAG격광전낭절개술술후전낭구수축배균피타개,낭대수축완해,무엄중병발증.술후1주,최가교정시력≥0.3자유술전적43지안증지52지안;술후최소낭구직경교술전현저증가,유(1.91±1.52)mm증지(4.33±1.92) mm(t=7.45,P=0.00);각막내피세포밀도여술전비교무명현개변,술전(2304±202)개/mm2,술후(2281±234)개/mm2(t=1.03,P=0.15),술후1주적안압여술전비교무명현개변;술전(15.53±4.34) mmHg,술후(15.76 ±4.49) mmHg(1mmHg =0.133 kPa),(t=0.62,P=0.27).수방6개월,무인공정상체이위.결론 Nd∶YAG격광전낭절개술시치료낭대수축종합정적유효방법,조기수술미발현엄중병발증.
Objective To observe the clinical effect of Nd∶YAG laser anterior capsulotomy for the treatment of capsular bag contraction syndrome(CCS) after intraocular lens implantation.Methods Eightyfive eyes of 85 cases of CCS were treated with Nd ∶ YAG laser anterior capsulotomy.The minimum diameter of the anterior capsule opening,best corrected visual acuity(BCVA),corneal endothelial count and intraocular pressure (IOP) were observed 1 day preoperation and 1 week postoperation.The follow-up time was 6 months.Results The contractile ring of anterior capsule opening was opened and the contraction of capsule bag was released after Nd∶YAG laser anterior capsulotomy.No serious complication was observed.The number of the eyes with BCVA ≥0.3 was increased from preoperative 43 eyes to postoperative 52 eyes.The minimum diameter of the anterior capsule opening increased significantly,form (1.91 ± 1.52) mm to (4.33 ± 1.92) mm (t =7.45,P =0.00).No significant change in corneal endothelial cell counts after treatment was observed,(2304 ± 202)/mm2 vs (2281 ± 234)/mm2 (t =1.03,P =0.15).IOP did not change significandy 1 week postoperation compared to 1 day preoperation,(15.53 ± 4.34) mmHg vs (15.76 ± 4.49) mmHg (t =0.62,P =0.27).No IOL shift was observed during 6 months follow-up.Conclusion Nd ∶ YAG laser anterior capsulotomy is an effective treatment for CCS.No serious complication was observed after early surgical treatment.
