甲基纤维素在深前房高度近视白内障患者手术中的临床应用  

Application of methyl cellulose in surgery for the cataract patients with high myopia and the deep anterior chamber

作　　者：孙理彬 

机构地区：[1]河南省许昌市人民医院眼科,461000

出　　处：《实用防盲技术》2014年第1期28-29,37,共3页Journal of Practical Preventing Blind

摘　　要：目的评价甲基纤维素在高度近视患者白内障超声乳化手术中的效果。方法白内障合并高度近视患者137例152眼,随机分为A、B两组行白内障超声乳化加人工晶体植入术,其中A组术中单用甲基纤维素,B组术中联合使用甲基纤维素和透明质酸钠。结果环形撕囊(CCC)成功率:A组92.5%(62/67),B组97.6%(83/85),两组比较差异无统计学意义(P=0.136)。术后A组视力0.1以上的占77.6%(52/67);B组视力0.1以上的占81.2%(69/85),两组比较差异无统计学意义(P=0.588)。术后角膜水肿情况:A组16.4%(11/67),B组14.1%(12/85),两组比较差异无统计学意义(P=0.694)。结论甲基纤维素在深前房白内障患者手术中安全有效。Objetive To evaluate the efficacy of methyl cellulose in cataract patients with high myopia by phacoemulsification. .Methods 152 eyes of 137 cases in cataract patients with high myopia was randomly divided into Group A and B. In the operation, methyl cellulose was used in group A, methyl cellulose and sodium hyaluronate was used in group B. Results Circular capsulorhexis success rate：group A was 92.5% （ 62/67 ） ,and 97.6% in B group （ 83/85 ） , there was no statistically significant difference between the two groups （ P=0.136 ） .For the more than 0.1 of the postoperative visual acuity, group A was 77.6% （ 52/67 ） , and 81.2% in B group （ 69/85 ） , there was no statistically significant difference between the two groups （ P=0.588 ） . Corneal edema after surgery, A group was 16.4% （ 11/67 ） , B group 14.1% （ 12/85 ） ,no significant difference between two groups. （ P=0.694 ） Conclusion Methyl cellulose is safe and effective in deep anterior chamber of cataract patients with high myopia.

关 键 词：软壳技术 甲基纤维素 透明质酸钠 高度近视 白内障 超声乳化 

分 类 号：R779.66[医药卫生—眼科] R779.6[医药卫生—临床医学]