人工晶体植入术并发角膜后弹力膜脱离的预防及处理  

Prevention and treatment of detachment of Descement's membrane in IOL implantation.

作　　者：徐延山[1] 孙惠敏[1] 季建 张红[1] 汤欣[1] 袁佳琴[1] 

机构地区：[1]天津医学院附属医院世界人工晶体中国天津培训中心

出　　处：《中华眼外伤职业眼病杂志》1993年第S1期321-322,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：白内障摘除及人工晶体植入术,术中偶可发生角膜后弹力膜脱离。此并发症虽然很少发生,但若处理不当则可影响视力,甚至发生大泡性角膜炎而招致不可逆转的视力障碍。本文报告了2543例人工晶体植入术中的7例角膜后弹力膜脱离(占0.28％)。并着重讨论了其发生原因、术中术后处理、预防及预后。Detachment of Descement's membranemay occur in cataract extraction and IOLimplantation. Although this complication isseen rarely, but the visual acuity can be affect-ed with improper management and even dam-aged irreversible due to bullous keratitis. Inthis paper, 7 cases (0.28%) of detachment ofDescemet's membrane were found in 2543cases of IOL imnplant surgery. The etiology,intraoperative and postoperative treatments,prevention and prognosis were discussed.

关 键 词：后弹力膜脱离 晶体植入 角膜剪 大泡性角膜炎 白内障摘除 人工晶体 角巩膜切口 角膜水肿 后弹力层 晶体皮质 

分 类 号：R77，R135.92[医药卫生—眼科]