1140眼后囊膜连续环形撕囊术的临床体会  

The clinical application of posterior continuous curvilinear capsulorhexis in 1140 eyes

作　　者：袁红 刘麟娟 王明举 

机构地区：[1]四川省白内障专科医院四川省人工晶体研究所,成都610041

出　　处：《中国实用眼科杂志》2007年第10期1136-1137,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的总结1140眼Ⅰ期后囊膜连续环形撕囊术的临床经验。方法884例1140眼行白内障超声乳化吸除或白内障囊外摘除联合人工晶状体植入同时进行后囊膜连续环形撕囊术。其中白内障超声乳化吸除术861眼,白内障囊外摘除术279眼。随访1m-91m。结果视力在1.0以上者309眼占27.1%,0.5-0.9者586眼占51.4%,0.1-0.4者225眼占19.7%,0.1以下者2O眼占1.8%。新生膜52眼,发生率4.6%。行新生膜切开术9眼,切开率0.8%。手术主要并发症有玻璃体内脱出。结论Ⅰ期后囊膜连续环形撕囊术是降低白内障手术后后囊膜混浊的一种简便、安全、有效的方法。因其可能的并发症和对操作的较高要求,临床应用须谨慎。Objective To study the clinical experience of primary posterior continuous curvilinear capsulorhexis（PCCC）in 1140eyes.Methods 1140eyes of 884 cases of cataract including861 eyes with phacoemulsification and 279eyes with ECCE accepted PCCC and PC-IOL implantation.The postoperative follow-up was 1 to 91 months.Results Of the1140eyes,309（27.1%）had a final visual acuity of 1.0 or better,586 （51.4%）between 0.5-0.9and 225（19.7%）between 0.1-0.4and 20（1.8%）0.1 or below.The newly formed fibrous membrane was found in 52eyes（4.6%）,of which 9eyes（0.8%）were cut.Main operative complication was internal vitreous prolapse.Conclusion The technique of primary PCCC is an safe and effective way to reduce posterior capsule opacification.Due to the possible complication and high requirement of operation,the clinical application should be prudent.

关 键 词：后囊膜连续环形撕囊术 后囊膜混浊 人工晶状体 

分 类 号：R776.1[医药卫生—眼科]