前房注气治疗白内障术后角膜后弹力层脱离  

Anterior chamber gas injection for the treatment of detachment of corneal Descemet’s membrane after cataract surgery

作　　者：黄侠[1] 袁军[1] 赵志玲[1] 赵宏[1] Huang Xia;Yuan Jun;Zhao Zhiling;Zhao Hong(Department of Ophthalmology,Zhengzhou Second People’s Hosptial,Zhengzhou 450006,China)

机构地区：[1]郑州市第二人民医院眼科,450006

出　　处：《中华眼外伤职业眼病杂志》2019年第11期822-825,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评估前房注气术治疗白内障手术后角膜后弹力层脱离的效果。方法回顾性分析2015年11月至2018年11月该院晶状体超声乳化术后发生角膜后弹力层脱离者31例(31眼)的临床资料。手术后1天行前房注射消毒空气治疗,随访3个月。结果注射后29例(93.55%)复位良好;1例(3.23%)仍有局部角膜后弹力层脱离,经局部抗炎及高渗糖滴眼液滴眼后恢复;1例(3.23%)仍有部分脱离,再次注气后完全复位。31例视力均有提高(t=6.926,P=0.000)。结论白内障术后角膜后弹力层脱离早期注气是一种安全和有效的治疗方法。Objective To evaluate the clinical efficacy of anterior chamber gas injection for the treatment of detachment of corneal Descemet’s membrane after cataract surgery.Methods The data of 31 eyes of 31 patients with corneal Descemet’s membrane detachment after phacoemulsification in this hospital from Nov.2015 to Nov.2018 were retrospectively analyzed.Anterior chamber gas injections were performed at 1 day after surgery.The patients were followed up for 3 months.Results The corneal Descemet’s membranes restored well after surgery in 29 patients(93.55%).One patient(3.23%)with local corneal Descemet’s membrane detachment restored,after using regional anti-inflammatory and hypertonic eye drips.One patient(3.23%)with partial detachment,anterior chamber gas injection was performed again.All these 31 patients had visual acuity improvements after surgery(t=6.926,P=0.000).Conclusion Anterior chamber gas injection in early stage is a safe and effective method for corneal Descemet’s membrane detachment after cataract surgery.

关 键 词：脱离 后弹力层 角膜 手术 白内障 注气术 前房 

分 类 号：G63[文化科学—教育学]