后囊大破裂口后房人工晶状体植入术临床观察  

Clinical observation of posterior chamber intraocular lens implantation with large ruptured mouth of posterior capsule

作　　者：陈惠[1] 邢球[1] 黄晓波[1] 

机构地区：[1]海口市人民医院,海口570208

出　　处：《中华眼外伤职业眼病杂志》2012年第9期680-682,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨白内障手术中后囊大破裂口下植入后房人工晶状体的临床疗效。方法26例（26眼）小切口非超声乳化白内障手术因失误导致后囊破裂，且破裂口大于1／2，经行脱出玻璃体切除处理后，充分利用残存囊行人工晶状体睫状沟植入，并回顾分析其疗效。结果术后1周约80％达到0．3或以上矫正视力；主要并发症为角膜水肿浑浊（88．46％），但多在1周内消失。结论本手术术后并发症少而轻，视力恢复较快，是白内障手术后囊大破裂口发生后仍能常规植入后房IOL的有效补救手段。Objective To discuss the clinical efficacy of posterior chamber intraocular lens（IOL） implantation in posterior capsular rupture with large mouth during cataract operation. Method The postoperative results of 26 cases（26 eyes） with more than 1/2 of whose posterior capsular ruptured because of the errors during cataract operation in small incision and non-phacoemulsification, by fluxion vitrectomy and using residual capsular for ciliary sucus-fixed IOL implantation, were studied retrospectively. Results One week after surgery,the corrected visual acuity was 0.3 or better（ about 80% ）. The major complication was corneal edema and opacity which disappeared within one week（88.46% ）. Conclusion With less and minor postoperative complication, and faster visual acuity recovery, the operation is effective method when posterior capsular ruptured largely and posterior chamber IOL also can be implanted routinely during cataract operation.

关 键 词：白内障手术 大破裂口 后囊 晶状体 人工 后房型 

分 类 号：R779.66[医药卫生—眼科]