摘要
目的 :探讨并评价人工晶体植入术后YAG激光治疗后发障的方法、疗效及安全性。方法 :使用国产YAG激光仪治疗后发障 87只眼 ,必要者术后短期局部滴用糖皮质激素以控制炎症。除膜或造孔成功后随访视力变化。结果 :5只眼的人工晶体前膜均一次性切除吸收 ;80只眼的混浊后囊膜被一次或分次切穿造孔成功 ;2只眼由于增殖机化膜呈茧样包裹人工晶体 ,改为全麻下手术治疗。激光治疗成功率为 97.6 %。视力均有不同程度的提高。结论 :YAG激光治疗后囊膜混浊或人工晶体前膜安全有效 ,但必须掌握手术时机和操作技巧 ,并取得患者的合作 。
Objective:To assess the methods,efficacy and safety of YAG laser in cutting the opacified posterior capsular membrane or clearing the anterior fibrinous membrane after the implantation of posterior chamber intraocular lens.Methods:Eighty seven eyes were treated with YAG laser.Topical steroids were prescribed for a short period after treatment to control the intraocular inflammation,when necessary.Visual acuities were followed up.Results:After the laser cutting,the anterior membrane in 5 eyes was successfully cleared;The opacified posterior capsular membranes of 80 eyes were cut open;The other 2 eyes were treated by operation under general anaesthesia,as the intraocular lens were wrapped by a thick cocoon like membrane.The success rate was 97.6%.Conclusions:Opacified posterior capsular membrane and anterior membrane can successfully be treated with YAG laser.But the operation should be done timely and skillfully so that the complications can be minimized.
出处
《蚌埠医学院学报》
CAS
2003年第1期13-14,共2页
Journal of Bengbu Medical College
