合并真性晶状体囊膜剥脱的白内障患者手术技巧探讨  

Discussion of surgical skills in cataract patients with true exfoliation of the lens capsule

作　　者：张睿[1] 宋洪元[1] 孙伟峰[1] 沈旎 崔骁 仲明[1] 沈炜[1] ZHANG Rui;Hong-yuan;SUN Wei-feng;SHEN Ni;CUI Xiao;ZHONG Ming;SHEN Wei(Department of Ophthalmology ChanghaiHospital ,the Second Military Medical University,Shanghai200433,Chin)

机构地区：[1]第二军医大学附属长海医院眼科,上海200433

出　　处：《中国眼耳鼻喉科杂志》2018年第3期201-205,共5页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨合并真性晶状体囊膜剥脱白内障患者的手术技巧,防止术中、术后并发症的发生,从而对临床工作提供一些建议。方法对2014年6月~2016年12月期间来我科诊治的合并真性晶状体囊膜剥脱的白内障患者及相同数量的常规白内障患者进行前瞻性研究。合并真性晶状体囊膜剥脱的白内障患者共7例(12眼),抽取3例(6眼)为A组、4例(6眼)为B组,年龄均超过80岁,平均年龄(81.14±0.90)岁;4例(6眼)。常规白内障患者为C组,年龄也均超过80岁,平均年龄(81.25±1.50)岁。手术方法均为白内障超声乳化吸除联合人工晶状体植入术,其中A组采用2次撕囊技术,B组采用注入黏弹剂后常规连续环形撕囊技术,C组采用常规连续环形撕囊技术。对3组患者术前、术后视力、眼压等指标进行统计学分析。结果 3组患者各项指标差异无统计学意义(P>0.05)。结论对于合并真性晶状体囊膜剥脱的白内障患者,可采用2次撕囊技术或注入黏弹剂后常规连续环形撕囊技术,手术安全性均较好。Objective To prevent the occurren ce of intraoperative and postoperative complicat ions an d providesome suggestions for clinical works via investigating the operation skill for cataract patients with true exfoliation.Metliods A perspect ive study was performed on cataract pat ients associated with true exfoliation who received cataract surgery during June 2014 to December 2016. Seven（12 eyes） cataract patients associated with true exfoliation were assigned to two groups,6 eyes for group A and 6 eyes for group B , and theold（81.14±0.90）. Four patients （6 eyes） with common cataract were assigned to group C , and the average age of patients were also over 80 years old （81.25±1.50）. The surgical method was phacoemulsification combined with intraocular lens （IOL） implantation. Group A was treated using twice capsulorhexis technique , group B was treated using continuous circular capsulorhexis technique after injecting viscoelastic agent,and group C was treatent using continuous circular capsulorhexis technique. The pre- and postoperative visual acuity , intraocular pressure and otherindexes were analyzed. Results The re was no significant difference between three groups （P〉0.05 ）.ConclusionsBoth twice capsulorhexis technique and continuous circular capsulorhexis technique after injecting viscoelastic agentcould achieve good and safe effect in cataract patients with true exfoliation.

关 键 词：真性晶状体囊膜剥脱 白内障 撕囊技术 

分 类 号：R779.66[医药卫生—眼科]