超声乳化治疗后极性白内障23眼  

Phacoemulsification for 23 eyes with posterior polar cataract

作　　者：翟洪[1] 赵鲁新[1] 于晓晖[1] 

机构地区：[1]淄博市中心医院眼科,山东淄博255036

出　　处：《山东大学耳鼻喉眼学报》2008年第2期168-170,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的评价超声乳化治疗后极性白内障的效果,探讨手术治疗的策略。方法治疗16例(23眼)连续性后极性白内障患者,总结手术技巧、术中并发症及术前、术后视力的变化等。结果23眼中,2眼(8.7%)发生后囊破裂,其中1眼晶体核落入玻璃体腔,另1眼未发生玻璃体脱出。术前平均视力3.77±0.54,术后4.86±0.12,差异有统计学意义(P=0.000)。1眼人工晶体植入睫状沟,22眼植入囊袋内。结论超声乳化联合折叠型人工晶体植入是治疗后极性白内障的有效方法。连续环形撕囊、不做水分离、原位碎核技术可以减少手术并发症。Objective To evaluate the effects of phacoemulsification for eyes with posterior polar cataract and approach the surgical strategy.Methods 16（23 eyes） patients were enrolled in this study.The surgical techniques,pre-and post-operative visual acuities,and intra-operative complications were determined.Results Posterior capsule rupture occurred in 2 eyes（8.7%）,in which one had the entire lens nucleus dropped into the vitreous cavity and the other did not.Mean pre-operative visual acuity was 3.77±0.54 and mean post-operative visual acuity was 4.86±0.12（P=0.000,paired-t test）.Intraocular lens（IOL） were implanted into the capsular bag in 22 eyes and into the sulcus in 1 eye.Conclusion Phacoemulsification with foldable IOL implantation is effective for posterior polar cataracts.Complications can be decreased by continuous curvilinear capsulorhexis（CCC）,non-hydro-dissection and in situ fracture.

关 键 词：超声乳化 白内障 晶体 人工 

分 类 号：R776.1[医药卫生—眼科]