Nd:YAG激光治疗晶体囊阻滞综合征的临床观察  

Clinical observation of Nd: YAG laser capsulotomy in the treatment of capsular block syndrome

作　　者：梁凌毅[1] 林振德[1] 金陈进[1] 冯波[1] 邹玉平[1] 

机构地区：[1]中山医科大学中山眼科中心,510060

出　　处：《中国实用眼科杂志》2001年第12期934-936,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :总结晶体囊袋阻滞综合征的临床特点并评价 Nd:YAG激光的治疗效果。方法 :对 6例晶体囊袋阻滞综合征的临床特点进行回顾性分析 ,其中 4例使用科以人 7970 Nd:YAG激光机行 Nd:YAG激光前后囊膜切开术 ,平均能量 4.7m J,平均击发 6 9次。结果 :6例晶体囊袋阻滞综合征共同表现为连续环形撕囊术后人工晶体光学面被连续环行撕囊口阻塞 ,晶体囊袋形成密闭的液性腔 ,后囊膜向后膨隆。 4例 Nd:YAG激光前后囊膜切开成功 ,视力明显提高 ,后囊膜复位。结论 :晶体囊袋阻滞综合征是白内障手术并发症之一 ,对术后迟发膨胀型者 ,Nd:YAG激光前后囊膜切开术是安全、有效的治疗方法。Objective: To observe the clinical features of capsular block syndrome (CBS) and evaluate the effect of Nd: YAG laser capsulotomy in the treatment of CBS. Methods: 6 cases of CBS were studies for their clinical manifestation. 4 cases of later postoperative CBS underwent. Nd: YAG laser capsulotomy with mean as 4.7mj and 69 beats. Results: In all the cases the common characteristic was the sealing of the opening of continuous curvilinear capsulorhexis (CCC) by the intraocular lens that resulted in capsular bag distention. After Nd: YAG laser anterio-posterior capsulotomy, visual acuity was improved and posterior capsule were reattached to IOL in 4 cases. Conclusions: CBS is a complication of CCC. Nd: YAG laser anterio-posterior capsulotomy is safe and effective in the treatment of later postoperative CBS.

关 键 词：ND:YAG激光 撕囊术 并发症 晶体囊阻滞综合征 

分 类 号：R776.05[医药卫生—眼科] R779.63[医药卫生—临床医学]