早期开展飞秒激光辅助白内障超声乳化手术前囊膜撕裂原因的回顾性分析  

Retrospective analysis of the causes of anterior capsular tear in early femtosecond laser-assisted cataract surgery

作　　者：董曙光 郭凤飞 孟旭霞[1] 颜世龙 DONG Shuguang;GUO Fengfei;MENG Xuxia;YAN Shilong(Department of Ophthalmology,The Affiliated Hospital of Qingdao University,Qingdao 266500,Shandong,China;Department of Ophthalmology,Jinan Aier Eye Hospital,Jinan 250199,Shandong,China;Department of Pathology,PKUCare Luzhong Hospital,Zibo 255499,Shandong,China)

机构地区：[1]青岛大学附属医院眼科,山东青岛266500 [2]济南爱尔眼科医院眼科,山东济南250199 [3]北大医疗鲁中医院病理科,山东淄博255499

出　　处：《山东大学耳鼻喉眼学报》2023年第1期110-114,共5页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的 回顾性研究分析飞秒激光辅助白内障超声乳化手术患者前囊膜撕裂的原因。方法 统计在济南爱尔眼科医院眼科选择飞秒激光辅助白内障超声乳化手术的患者86例(105眼)。所有患者均使用飞秒激光辅助设计完成前囊膜圆形截囊,晶状体预劈核,而后继续完成白内障超声乳化吸除联合人工晶体植入手术,所有患者的手术均是同一名熟练手术医生完成,记录前囊撕裂的患者。结果 105眼中发生前囊膜发生撕裂的患者共6眼(5.71%),其中3眼(2.86%)膨胀期白内障患者在飞秒激光前囊膜切开时前囊膜撕裂,2眼(1.90%)白色白内障(晶状体全白的)患者在取出前囊膜时撕裂,1眼(0.95%)Ⅳ级核白内障患者在超声乳化手术过程中前囊膜撕裂。结论 飞秒激光辅助白内障超声乳化手术在激光发射时或者超乳手术过程中都有可能发生前囊膜撕裂,尤其是白色白内障、膨胀期白内障等患者,通过挑选合适患者,精准规范的手术操作,可最大程度避免出现前囊膜撕裂的并发症,发挥飞秒激光手术的优势。Objective A retrospective study to analyze the causes of anterior capsular tear in patients with femtosecond laser-assisted cataract surgery. Methods A total of 86 patients(105 eyes) who chose femtosecond laser-assisted cataract surgery(FLACS)were counted. All patients underwent circular capsulotomy of the anterior capsule and lens pre-chopping using femtosecond laser-assisted design, and then continued to complete phacoemulsification combined with intraocular lens implantation. All surgeries were performed by the same skilled surgeon, and patients with anterior capsular tear were recorded. Results In 105 eyes, 6 eyes(5.71%) had anterior capsular tear. Among them, 3 eyes(2.86%) had anterior capsule tear during femtosecond laser anterior capsule incision 2 eyes(1.90%) of patients with cataracts(all white of the lens) had tears during removal of the anterior capsule, and 1 eye(0.95%) of patient with grade Ⅳ nuclear cataracts had tears during phacoemulsification. Conclusion FLACS may cause anterior capsular tear during laser emission or phacoemulsification, especially for patients with white cataract, inflated cataract, and possibly other issues. By selecting suitable patients, and using a careful and standardized surgery operation, which can avoid the complications of anterior capsule tear to the greatest extent, is needed to take advantage of FLACS.

关 键 词：前囊膜撕裂 白内障 并发症 飞秒激光 超声乳化 

分 类 号：R776.1[医药卫生—眼科]