基础医学与临床 ›› 2011, Vol. 31 ›› Issue (6): 713-716.

• 临床园地 • 上一篇    下一篇

微小连续环形撕囊在膨胀期老年性白内障超声乳化手术中的应用

刘小伟1,王铮2,3,于伟泓2,4,王造文2,4,毛进4   

  1. 1. 中国医学科学院北京协和医学院北京协和医院眼科
    2.
    3. 卫生部北京医院
    4. 中国医学科学院北京协和医学院北京协和医院
  • 收稿日期:2010-11-12 修回日期:2011-03-10 出版日期:2011-06-05 发布日期:2011-06-06
  • 通讯作者: 毛进 E-mail:drmao@163.com

Small Continuous Curvilinear Capsulorhexis during Phacoemulsification in Senile Intumescent Cataracts

Xiao-wei LIU1,Zheng WANG2,2,Wei-hong YU2,2,Zao-wen WANG2,Jin MAO1   

  • Received:2010-11-12 Revised:2011-03-10 Online:2011-06-05 Published:2011-06-06
  • Contact: Jin MAO E-mail:drmao@163.com

摘要: 目的 研究膨胀期老年性白内障超声乳化中微小连续环形撕囊的安全性和短期手术效果。方法 对143例皮质膨胀期老年性白内障患者进行较小的连续环形撕囊,常规超声乳化手术,植入人工晶状体后,根据撕囊直径的大小,再扩大撕囊至6mm左右。对连续环形撕囊的完成率、术中、术后并发症和术后最佳矫正视力进行统计分析。结果 132例(92.3%)膨胀期白内障患者顺利完成连续环形撕囊,其中82例(57.3%)进行了2次撕囊。8例(5.6%)环形私囊失败的患者最终采用白内障囊外摘除术,4例(2.8%)术中发生后囊膜破裂和玻璃体丢失。结论 膨胀期白内障的超声乳化手术采用微小连续环形撕囊方法,必要时2次撕囊,具有良好的安全性。

关键词: 膨胀期白内障, 连续环形撕囊, 超声乳化

Abstract: Objective To evaluate the safety of small-capsulorhexis skills during phacoemulsification in senile intumescent cataract patients and the short-term surgery outcomes. Methords 143 senile intumescent cataract eyes (143 patients) were included in this study. They received phacoemulsification surgeries with a deliberately small continuous curvilinear capsulorhexis(CCC) (about 4mm) that was secondarily enlarged to about 6mm after intraocular lens had been inplanted. The rate of CCC completed and intraoperative and postoperative complications and short-term surgical outcomes had been statistically analyzed. Results CCC had been completed in 132(92.3%) intumescent cataract patients and secondly CCC was needed in 82 (57.3%) of them. Four failed cases suffered from breaking of the capsule and vitreous loss. Conculsion: Small continuous curvilinear capsulorhexis could help prevent unexpected radial tears of the capsulotomy during phacoemulsification in intumescent cataract patients.

Key words: Intumescent cataract, continuous curvilinear capsulorhexis, phacoemulsification