白内障术中囊膜抛光预防后囊膜混浊  

Capsule polishing in cataract surgery to prevent posterior capsule opacification

作　　者：郑鑫 万修华 Zheng Xin;Wan Xiuhua(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Ophthalmology and Visual Sciences,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院,北京同仁眼科中心,眼科学与视觉科学北京市重点实验室,北京100730

出　　处：《国际眼科纵览》2024年第3期205-210,共6页International Review of Ophthalmology

基　　金：国家自然科学基金(82171037);北京市医院管理中心临床医学发展专项经费资助(XMLX202133)。

摘　　要：后囊膜混浊(posterior capsular opacification,PCO)是白内障超声乳化术后较为常见的并发症,发生机制与晶状体上皮细胞的残留和增生有关。随着现代手术技术和人工晶状体材料的改进,术后发生PCO而需行YAG激光后囊膜切开术的比率不断下降。研究表明,囊膜抛光技术,无论是器械、水流抛光或者负压抛光均可有效去除后囊膜表面的纤维支架和脱落的上皮细胞,有效预防PCO,降低术后PCO的发生率。Posterior capsular opacification(PCO)is one of the common complications after phacoemulsification.Modern cataract surgery technology has significantly reduced the occurrence of this complication,with the improvement of modern surgical technology and intraocular lens materials,making the rate of YAG laser posterior capsulotomy is declining.Capsular membrane polishing,whether instruments,water flow polishing or negative pressure polishing can effectively remove the fiber stent on the posterior capsule surface and the detached epithelial cells,and can effectively prevent PCO.In patients with adequate anterior and posterior capsule polishing,the incidence of postoperative PCO is usually reduced.

关 键 词：白内障/外科学 后囊膜混浊 囊膜抛光 

分 类 号：R779.66[医药卫生—眼科]