并发性白内障超声乳化摘除术中后囊膜破裂危险因素分析及处理  

Analysis of risk factors and treatment for posterior capsule rupture during phacoemulsification with complicated cataract

作　　者：江明洁[1] 赵贵阳[1] Jiang Mingjie;Zhao Guiyang(Department of Ophthalmology,Nanjing First Hospital, Nanjing Medical University, Jiangsu 210006,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)眼科,210006

出　　处：《临床眼科杂志》2018年第6期520-522,共3页Journal of Clinical Ophthalmology

摘　　要：目的分析并发性白内障行超声乳化摘除术中晶状体后囊膜破裂发生的危险因素,并探讨其预防和处理方法。方法对并发性白内障行超声乳化摘除联合人工晶状体植入术中发生后囊膜破裂的26例(26只眼)进行总结,分析后囊膜破裂发生的危险因素和时间段,减少玻璃体脱出的方法,玻璃体脱出的处理及人工晶状体的植入等。结果 26只眼均一期植入人工晶状体,术后23只眼均有不同程度的视力提高,无严重并发症。结论并发性白内障行超声乳化摘除联合人工晶状体植入术,有术中发生后囊膜破裂的高风险因素,后囊膜破裂可发生在手术的各个操作阶段,但只要术者具有丰富的手术经验,能及时发现,同时有熟练的手术技巧能正确处理,依然可以减少严重的并发症发生,一期植入人工晶状体,获得良好的视力预后。Objective To analyze the risk factors of posterior capsule rupture during phacoemulsification combined with implantation of intraocular lens for complicated cataract and investigate the treatment. Methods From several aspects including the risk factors and the time of posterior capsule rupture, treatment of vitreous loss, implantation of intraocular lens and etc., to analyze 26 eyes with posterior capsule rupture during phacoemulsification combined with implantation of intraocular lens in patients with complicated cataract. Results All the 26 eyes were implanted with intraocular lens. The 23 eyes out of 26 had different degrees of visual acuity improvement and no serious complications. Conclusions Phacoemulsification combined with implantation of intraocular lens for complicated cataract has high-risk factors of posterior capsule rupture. Posterior capsule rupture can occur in all stages of the operation. As long as the surgeon has proficient surgery skills, it can be discerned and properly managed, also, good operative effects can be obtained.

关 键 词：并发性白内障 后囊膜破裂 危险因素及处理 

分 类 号：R779.66[医药卫生—眼科]