摘要
目的评价两种不同撕囊方式在透明角膜切口白色白内障超声乳化联合人工晶状体植入术中的安全性。方法将672例白色白内障超声乳化联合人工晶状体植入术病例随机分为侧切口撕囊针撕囊组(撕囊针组)和主切口撕囊镊撕囊组(撕囊镊组)。比较两组的撕囊成功率、人工晶状体囊袋内植入率、撕囊时前囊膜朝多方向放射状裂开的发生率及术后角膜水肿的情况。结果撕囊针组368例368眼中有363眼获得圆形或类圆形撕囊口,占98.64%,1眼发生前囊膜朝多方向放射状裂开;撕囊镊组365例365眼中有349眼获得圆形或类圆形撕囊口,占95.61%,11眼发生前囊膜朝多方向放射状裂开。比较上述差异均有统计学意义。结论用撕囊针通过侧切口完成白色白内障连续环形撕囊是一种更加安全的方法。
OBJECTIVE To evaluate the therapeutic effects of two different methods of capculorhexis in phacoemulsification in mature or hypermature cataracts.METHODS Six hundred and seventy- two patients were randomized into two groups. One group has 368 patients and capculorhexis was performed with needle capculorhexis from the second incision and the other group had 365 patients with capculorhexis forceps for capculorhexis from the main incision. The successful rate of capculorhexis, IOL implantation, the rate of the anterior capsule rupturing radially and cornea oedema postoperatively between the two groups were compared.RESULTS In the first group （368 eyes）, capculorhexis with needle, 363 eyes （98.64 % ）, achieved round or similar round capculorhexis and the anterior capsule of one eye ruptured radially.Within the other group （365 eyes）, capculorhexis with forceps, 349 eyes （95.61%）, achieved round or similar round capculorhexis and the anterior capsule of 11 eyes ruptured radially. The difference between two groups showed statistical significance. CONCLUSIONS It is much safer to use needle to perform continuous curvihnear capculorhexis in mature or hypermature cataracts.
出处
《中国中医眼科杂志》
2007年第2期65-67,共3页
China Journal of Chinese Ophthalmology
关键词
撕囊针
撕囊镊
撕囊成功率
超声乳化
白色白内障
capculorhexis needle
capculorhexis forceps
rate of successful capculorhexis
phacoemulsification
white cataract
