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
616-617
,共2页
白内障,白色%超声乳化术%高流量高负压%爆破模式
白內障,白色%超聲乳化術%高流量高負壓%爆破模式
백내장,백색%초성유화술%고류량고부압%폭파모식
Cataract,white%Phacoemulsification%High flow%High negative pressure%Burst mode
目的 探讨以高流量高负压的爆破模式行白色白内障超声乳化手术的要点及效果.方法 对23例(28眼)白色白内障采取高流量高负压的爆破模式行超声乳化手术,记录术中连续环形撕囊完成情况、超声能量、超声时间以及手术并发症;观察手术后的视力及角膜水肿情况.结果 术中完整连续环形撕囊者20例25眼(89.29％),3例3眼(10.71％)发生前囊边缘撕裂;术中实际使用的超声能量为:(19.03±3.31)％,超声时间为(42±7)s,后囊破裂2例,均Ⅰ期植入人工晶状体,无1例发生核坠落、视网膜脱离或眼内炎等严重并发症;术后1周矫正视力:0.1者1例1眼(3.57％),0.3 ～0.4者7例7眼(25.00％),0.5 ～1.0者15例20眼(71.43％).角膜水肿:0级者15例15眼(53.57％),1级者6例11眼(39.29％),2级者2例2眼(7.14％),无一例发生3级以上的角膜水肿.结论 应用高流量高负压的爆破模式行白色白内障超声乳化术是一种高效,安全的方法.
目的 探討以高流量高負壓的爆破模式行白色白內障超聲乳化手術的要點及效果.方法 對23例(28眼)白色白內障採取高流量高負壓的爆破模式行超聲乳化手術,記錄術中連續環形撕囊完成情況、超聲能量、超聲時間以及手術併髮癥;觀察手術後的視力及角膜水腫情況.結果 術中完整連續環形撕囊者20例25眼(89.29％),3例3眼(10.71％)髮生前囊邊緣撕裂;術中實際使用的超聲能量為:(19.03±3.31)％,超聲時間為(42±7)s,後囊破裂2例,均Ⅰ期植入人工晶狀體,無1例髮生覈墜落、視網膜脫離或眼內炎等嚴重併髮癥;術後1週矯正視力:0.1者1例1眼(3.57％),0.3 ～0.4者7例7眼(25.00％),0.5 ～1.0者15例20眼(71.43％).角膜水腫:0級者15例15眼(53.57％),1級者6例11眼(39.29％),2級者2例2眼(7.14％),無一例髮生3級以上的角膜水腫.結論 應用高流量高負壓的爆破模式行白色白內障超聲乳化術是一種高效,安全的方法.
목적 탐토이고류량고부압적폭파모식행백색백내장초성유화수술적요점급효과.방법 대23례(28안)백색백내장채취고류량고부압적폭파모식행초성유화수술,기록술중련속배형시낭완성정황、초성능량、초성시간이급수술병발증;관찰수술후적시력급각막수종정황.결과 술중완정련속배형시낭자20례25안(89.29％),3례3안(10.71％)발생전낭변연시렬;술중실제사용적초성능량위:(19.03±3.31)％,초성시간위(42±7)s,후낭파렬2례,균Ⅰ기식입인공정상체,무1례발생핵추락、시망막탈리혹안내염등엄중병발증;술후1주교정시력:0.1자1례1안(3.57％),0.3 ～0.4자7례7안(25.00％),0.5 ～1.0자15례20안(71.43％).각막수종:0급자15례15안(53.57％),1급자6례11안(39.29％),2급자2례2안(7.14％),무일례발생3급이상적각막수종.결론 응용고류량고부압적폭파모식행백색백내장초성유화술시일충고효,안전적방법.
Objective To investigate the effect of blasting mode of high flow and high negative pressure phacoemulsification for white cataract.Methods The blasting mode of high flow and high negative pressure phacoemulsification for white cataract was performed in 28 eyes of 23 cases,and the completion of continous curviliniar capsulorrhexis (CCC),ultrasonic power,ultrasonic time and operative complications were observed after the operation.The visual acuity and corneal edema were recorded.Results CCC was performed successfully in 25 eyes (89.29％),and the rupture of edge of anterior capsule occued in 3 eyes (10.71％).The ultrasonic energy used in actual operation was (19.03％ ± 3.31％) and the ultrasonic time was (42 ± 7) s.Posterior capsular rupture happened in 2 eyes,and the intraocular lens were all implanted in the first stage.No serious complications such as nuclear fall,retinal detachment or endophthalmitis occurred.The visual acuity at 1 week after the operation was less than 0.3 in one eye (3.57 ％),0.3-0.4 in 7 eyes (25.00％) and 0.5-1.0 in 20 eyes (71.43 ％).Corneal edema was grade 0 in 15 eyes (53.57％),grade 1 in 11 eyes (39.29％),grade 2 in 2 eyes (7.14％),and corneal edema in grade 3 didn' t happen.Conclusion The blasting mode of high negative pressure and high flow phacoemulsification for white cataract is effective and safe.
