透明角膜切口23G微创玻璃体手术在后发性白内障的应用  

Application of 23G minimally invasive vitrectomy through the transparent cornea incision in posterior capsule opacification

作　　者：冯会芳[1] 刘亚东[1] 

机构地区：[1]河南省郑州黄河中心医院眼科,郑州450003

出　　处：《临床医学》2014年第12期42-44,共3页Clinical Medicine

摘　　要：目的观察透明角膜切口23G微创玻璃体手术在后发性白内障处理中的效果和安全性。方法回顾性分析黄河中心医院31例无法行Nd:YAG激光后囊膜切开的患者,行透明角膜切口,23G玻璃体切割器进行晶状体后囊膜切开及前部玻璃体切除术,观察术中、术后并发症,术后视力恢复情况及患者满意度。结果 31例患者中28眼(82.35%)视力明显提高,6眼(17.65%)视力保持不变。视力无变化者中2眼术后检查发现存在眼底病变,其余4眼属先天性白内障术后,患儿已形成弱视,视力提高欠佳;所有患者中除1例因手术切口位置选择不当造成人工晶状体损伤外,其余患者术中及术后均未见明显并发症,术后恢复较快较好,患者满意度高。结论对于无法行Nd:YAG激光的后发性白内障患者,透明角膜切口23G微创玻璃体手术是一种安全有效的办法。Objective To observe the efficacy and safety of 23-G minimally invasive vitrectomy through the transparent cornea incision in the posterior capsule opacification（ PCO）. Methods A retrospective analysis of 31 patients in yellow river central hospital which could not accept posterior capsulotomy with Nd： YAG laser was made. They were treated with posterior capsulotomy and anterior vitrectomy through the transparent cornea incision,23-G vitreous cutter was used. The intraoperative and postoperative complications,postoperative visual acuity recovery and patient satisfaction was observed. Results Among all patients（ 34 eyes）,the visual acuity of 28 eyes（ 82. 35%） were significantly improved,and the visual acuity of 6 eyes（ 6 /34,17. 65%） remains unchanged. Two of the unchanged eyes revealed retinopathy post-operation,and the other 4 eyes are postoperative congenital cataract,patients had formed amblyopia. Intraocular lens（ IOL） damage occurred in 1 case due to improper surgical incision location select. There were no significant intraoperative or postoperative complications in the remaining patients.They got faster and smoothly recovery. The patient satisfaction degree was high. Conclusion For denser PCO with 23-G minimally,invasive vitrectomy through the transparent cornea incision is secure and effective.

关 键 词：23G 微创玻璃体手术 透明角膜切口 后发性白内障 

分 类 号：R779.6[医药卫生—眼科]