白内障术后早期囊袋阻滞综合征1例  

Early capsular block syndrome after cataract surgery:A case report

作　　者：邵敬芝[1] 杜珊珊[1] 张凤妍[1] SHAO Jingzhi;DU Shanshan;ZHANG Fengyan(Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Henan Provincial Ophthalmic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院眼科,河南省眼科医院,郑州450052

出　　处：《眼科学报》2022年第2期157-161,共5页Eye Science

基　　金：国家自然科学基金(81970785);河南省医学科技攻关计划联合共建项目(2018020065)。

摘　　要：囊袋阻滞综合征(capsular block syndrome,CBS)是白内障手术较为罕见的并发症,可发生在白内障术中、术后早期及晚期。本文报道1例23岁的女性患者,为发生在白内障术后早期的CBS,因左眼激素性白内障而实施左眼白内障超声乳化联合后房型人工晶状体(intraocular lens,IOL)植入术,术后患者因屈光不正、后囊膜及IOL之间较宽间隙而诊断为CBS,行Nd:YAG激光后囊膜切开治疗后,患者视力恢复至正常,后囊膜及IOL贴合紧密,随访期间未出现黄斑水肿及视网膜脱离等并发症。Capsular block syndrome(CBS),a fairly rare complication of phacoemulsification,can develop into one of the three following possible clinical scenarios:intraoperative,early postoperative,and late postoperative,depending primarily on the timing of its occurrence following surgery.This paper reported a patient who developed early capsular block syndrome.A 23-year-old patient complained of poor distant vision after undergoing phacoemulsification combined with intraocular lens(IOL)implantation because of steroid-induced cataract.Anterior segment examination confirmed the diagnosis of capsular block syndrome.Neodymium-doped yttrium aluminum garnet(Nd:YAG)laser posterior capsulotomy resulted in complete resolution of her symptoms.No complication happened during follow-up.

关 键 词：囊袋阻滞综合征 连续环形撕囊 继发性青光眼 

分 类 号：R779.66[医药卫生—眼科]