摘要
【摘要】目的探讨晶状体超声乳化手术中后囊破裂的原因及处理措施。方法对我院2014年5月至2014年11月进行的680例（709眼）超声乳化术中后囊破裂的原因及处理情况进行回顾性分析。结果术中后囊破裂21例（21眼），其中，乳化核引起后囊破裂8眼；注吸皮质引起后囊破裂9眼；调整人工晶状体位置引起后囊破裂3眼；剪除前房卷曲的前囊引起后囊破裂1眼。根据后囊破裂的不同情况，采取人工晶状体囊袋内植入9眼；睫状沟植入10眼；缝线固定1眼；放弃植入人工晶状体，而配戴框架眼镜1眼。术后矫正视力均在0．3以上。结论超声乳化手术中后囊破裂，及时发现并正确处理可取得良好的结果。
Objective To investigate the causes and management of posterior capsule rupture in phacoemulsification surgery. Methods The causes and management of posterior capsule rupture phacoemulsification surgery in 709 eyes of 680 cases between 8th May 2014 to 30th November 2014 in our hospital were analysed retrospectively. Results There were 21 eyes complicated with posterior capsule rupture. Of them 8 eyes happened during emulsifing lens nuclear, 9 eyes occurred when aspirating cortex, 3 eyes happened when adjusting intraocular lens, 1 eyes occurred when cutting off the curling anterior capsule. In 21 cases with posterior capsule rupture, 9 eyes were treated with intraocular lens （IOL） implantation, 10 eyes with IOL ciliary sulcus implantation , 1 eye with IOL suspension implantation, 1 eye wearing glass without IOL implantation. The BCVA were all above 0.3. Patient satisfaction rate was 100%. Conclusion For posterior capsule rupture in phacoemulsification cataract surgery timely and accurate treatment will get satisfied result.
出处
《中华眼外伤职业眼病杂志》
2016年第8期598-601,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
白内障
晶状体
超声乳化术
后囊破裂
手术中
Cataract
Phacoemulsification
Posterior capsule rupture, in the surgery
