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白内障摘除联合玻璃体切除术中透明角膜切口制作的改进 被引量:2

The refining of the clear corneal incision for phacoemulsification combined with vitrectomy
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摘要 目的探讨白内障摘除联合玻璃体切除术中透明角膜切口的最佳制作方式。方法回顾分析了应用改进方式制作的透明角膜切口在白内障摘除联合玻璃体切除术的表现,观察了白内障摘除术中前房的稳定性,后囊的完整性,及玻璃体切割术中角膜切口的渗漏,切开部位对眼后节观察的影响,并与常规角膜切口组进行了比较。结果改良切开下前房稳定性良好,晶状体后囊破囊率明显降低;玻璃体手术过程中,角膜切开密闭良好,对后节组织的观察未受切口的影响。结论新法制作切口简便易行,相对于常规切口有较多优势。 Objective To explore the best method to make the clear corneal incision for cataract surgery combined with vitrectomy.Methods We analyzed retrospectively the appearance of the newly clear corneal incision during the vitrectomy,the steady of the anterior chamber in phacoemulsification,the integrity of the post capsule and the leakage of the new corneal incision,its influence on the fundus observation if there was leakage of corneal incision during the vitrectomy,with comparison to the conventional corneal incision.Results The new clear corneal incision is better than the conventional incision,because it has better anterior chamber steady,lower posterior capsule break rates,and less incision leakage.Also,it does not affect the fundus observation during the vitrectomy.Conclusion The new method for corneal incision is simple to manipulate,and it has many advantages over the conventional incision.
出处 《临床眼科杂志》 2012年第3期241-242,共2页 Journal of Clinical Ophthalmology
关键词 白内障玻璃体联合术 角膜切口 Phacoemulsification combined with vitrectomy Corneal incision
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  • 1Tan HS, MnmM, l-esnik Obetstein SY,et al.Sefety of vitretomy for flaters. Am J Opbfludmol,2011,151:995-998.
  • 2Ha,- WW, Hoffmann P, Hee F,et al. Fifty ve Ca- ses d Transconjunct/vsl Sutureless 23-Gau Vitrecny Comb/ned Wi,h Phscoea,IAcation and IOL Implantoa. Ophdmlmic Surg Lasers Imp,2011,15 : I-6.
  • 3Heiligcnhaus A, Holtk.amp A, Koch J, et al. Combined pl'mcoe- mulaificafion and pats plana vienectmny: clear comeal veesus scler- al incisions: pmspective randomized multicemter study. J C,'.sot Refract Surg,2003,29: U06-1112.

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