玻璃体视网膜手术中切除晶状体保留前囊膜的疗效观察  

Lensectomy keeping intact anterior capsule in vitreoretinal surgery

作　　者：马利波[1] 周明波[1] 张志[1] 卢笛[1] 

机构地区：[1]沈阳市爱尔眼科医院, 沈阳110003

出　　处：《中国实用眼科杂志》2007年第3期300-302,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨玻璃体切割联合晶状体切除手术中于睫状体平坦部切口切除晶状体、保留前囊膜的远期治疗效果。方法37例（38眼）玻璃体视网膜病变同时伴有晶状体混浊病例,术中均采用经睫状体平坦部切口切除晶状体、保留晶状体前囊膜、吸除前囊下上皮细胞、同期或Ⅱ期植入人工晶体。结果35眼前囊膜瞳孔区保持光滑透明、视力接近预期矫正视力。结论玻璃体切割联合晶状体切除、保留前囊膜,简化手术操做,恢复视功能疗效良好。Objective To observe the long term effect of lensectomy keeping intact anterior capsule in pars plana vitrectomy. Methods In the vitrectomy of 37 patients （38eyes） of vitreoretinopathy with cataract, lensectomy was performed. The anterior capsule remained intact and the lens epithelial cells were aspirated. IOLs were implanted primarily or later. Result Corrected vision of 35 eyes reached expectation, with clear pupillary zone in anterior capsule. Conclusion Lenscctomy keeping intact anterior capsule in pars plana vitrectomy can simplify the operation with beneficial effects.

关 键 词：玻璃体切割 晶状体切除 前囊膜 

分 类 号：R774.13[医药卫生—眼科]