小切口白内障摘出术中后囊破裂的分析及处理  

Analysis and treatment of posterior capsule rupture in small incision cataract surgery

作　　者：蓝庆豪 黄冲 甘富辉 陆美醒 

机构地区：[1]马山县人民医院眼科,广西530600

出　　处：《中华眼外伤职业眼病杂志》2014年第1期48-50,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨小切口非超声乳化白内障摘出术中后囊破裂的原因及处理措施。方法对1320例（1470眼）老年性白内障行小切口非超声乳化摘出术联合人工晶状体植入术发生后囊破裂79例进行分析总结。结果后囊破裂79例（79眼）中，切口不当的2例，撕囊不当的12例，水分离不当的2例，娩核不当42例，冲洗皮质不当17例，植入人工晶状体不当4例。根据不同情况，采取人工晶状体囊袋内植入37例，睫状沟植入32例，缝线固定10例。结论术中晶状体后囊破裂是白内障摘出术联合人工晶状体植入术中常见的并发症，及时发现并正确处理，仍能取得良好的效果。Objective To explore the causes and treatment of posterior capsule rupture in small in- cision nonphacoemulsification cataract surgery. Methods The medical records of 79 cases that received cat- aract surgery complicated by posterior capsule rupture were analyzed. Results The causes of posterior cap- sule rupture included improper incision in 2 cases, improper capsulorhexis in 12 cases, improper hydrodis- section in 2 cases, improper nucleus extraction in 42 cases, improper irrigation and aspiration in 17 cases and improper implantation of intraocular lens（IOL） in 4 cases. The IOLs were implanted in the capsule in 37 cases, it were placed in ciliary sulcus in 32 cases and were suture fixed in the ciliary sulcus in 10 cases. Conclusion Posterior capsule rupture is the common surgical complication in small incision non-phacoe- mulsication cataract surgery combined with IOL implantation. The surgery still has good clinical efficacy if posterior capsule rupture is timely detected and correctly handled.

关 键 词：白内障摘出 小切口 非超声乳化 后囊破裂 处理 

分 类 号：R779.66[医药卫生—眼科]