人工晶状体夹持技术在白内障联合玻璃体视网膜手术后囊膜破裂中的应用  

Capture of intraocular lens optic for posterior capsular rupture during combined anterior and posterior segment surgery

作　　者：叶鸿飞 赵培泉[1] YE Hongfei;ZHAO Peiquan(Xinhua Hospital,Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院,上海200092

出　　处：《眼科学报》2023年第2期122-126,共5页Eye Science

基　　金：上海市科学技术委员会2022年度“科技创新行动计划”医学创新研究专项项目(22Y11910200)。

摘　　要：玻璃体视网膜疾病并发白内障患者行玻璃体切割术联合超声乳化白内障摘除术,即前后节联合手术,是高效的手术方式,而后囊膜破裂(posterior capsular rupture,PCR)是超声乳化白内障摘除术的术中并发症之一,能够及时、有效地处理PCR,稳定、安全地植入人工晶状体(intraocular lens,IOL),对于顺利完成后段手术,减少术后并发症十分重要。本文将对前后段联合手术中后囊膜破裂的术中处理、以及IOL光学部夹持固定法植入IOL的手术技术要点进行总结。Combined surgery of pars plana vitrectomy(PPV) and phacoemulsification is an effective and safe way for management of retinal diseases complicated with cataract.Posterior capsular rupture(PCR) is one of the common intraoperative complications of phacoemulsification,and it is thus very important to deal with it promptly and efficiently,and ensure the subsequent procedures of intraocular lens(IOL) implantation as well as PPV.We will summarize the key points of the surgical technique for management of PCR and capture of IOL optic during combined surgery.

关 键 词：白内障联合玻璃体视网膜手术 前后节联合手术 后囊膜破裂 人工晶状体 光学部夹持 

分 类 号：R779.6[医药卫生—眼科]