囊膜染色联合囊袋减张改良撕囊在膨胀期白内障手术中的应用价值分析  

Analysis of the application value of capsule staining combined with modified capsular decompression in capsulorhexis in intumescent cataract surgery

作　　者：张学印 牛光红 ZHANG Xue-yin;NIU Guang-hong(Weihai Aier Eye Hospital,Weihai 264200,China)

机构地区：[1]威海爱尔眼科医院青白科,264200

出　　处：《中国实用医药》2025年第3期58-61,共4页China Practical Medicine

摘　　要：目的分析囊膜染色联合囊袋减张改良撕囊在膨胀期白内障手术中的应用价值。方法80例膨胀期白内障手术患者,通过数字随机分配原则分为观察组、对照组,每组40例。对照组实施吲哚菁绿囊膜染色,不进行囊袋减压,直接应用常规环形撕囊;观察组在吲哚菁绿囊膜染色下实施囊袋减张改良撕囊方法进行撕囊。比较两组患者术后1个月视力、并发症发生率、撕囊情况、撕囊时间及术前、术后1个月的角膜内皮细胞计数。结果术后1个月,观察组患者的视力(0.74±0.42)高于对照组的(0.61±0.45),但无统计学差异(P>0.05)。观察组患者的并发症发生率10.00%稍低于对照组的12.50%,但无统计学差异(P>0.05)。观察组患者的撕囊连续率97.50%高于对照组的75.00%(P<0.05)。术前、术后1个月,两组患者的角膜内皮细胞计数比较无统计学差异(P>0.05)。观察组患者的撕囊时间(52.73±8.11)s长于对照组的(36.32±11.25)s(t=7.484,P<0.05)。结论囊膜染色联合囊袋减张改良撕囊作为一种新型的白内障手术技术,可有效提高撕囊连续率,保障手术安全性,为改善膨胀期白内障手术患者的临床效果提供了新的思路和方法。Objective To analyze the application value of capsule staining combined with modified capsular decompression in capsulorhexis in intumescent cataract surgery.Methods 80 patients undergoing intumescent cataract surgery were divided into observation group and control group according to the principle of random allocation of numbers,each with 40 cases.In the control group,indocyanine green capsule staining was performed,and the conventional circular capsulorhexis was applied directly without decompression;in the observation group,indocyanine green capsular staining combined with modified capsular decompression in capsulorhexis was performed.The visual acuity at 1 month after surgery,complication rate,capsulorhexis condition,capsulorhexis time and corneal endothelial cell count before surgery and 1 month after surgery were compared between the two groups.Results 1 month after surgery,the visual acuity of(0.74±0.42)in the observation group was higher than(0.61±0.45)in the control group,but there was no statistical difference(P>0.05).The complication rate of 10.00%in the observation group was slightly lower than 12.50%in the control group,but there was no statistical difference(P>0.05).The rate of continuous capsulorhexis of 97.50%in the observation group was higher than 75.00%in the control group(P<0.05).There was no statistical difference in corneal endothelial cell counts between the two groups before surgery and 1 month after surgery(P>0.05).The capsulorhexis time of(52.73±8.11)s in the observation group was longer than(36.32±11.25)s in the control group(t=7.484,P<0.05).Conclusion As a new cataract surgery technique,capsular staining combined with modified capsular decompression in capsulorhexis can effectively improve the rate of continuous capsulorhexis,ensure the surgical safety,and provide a new idea and method for improving the clinical effect of patients undergoing intumescent cataract surgery.

关 键 词：囊膜染色 囊袋减张改良撕囊 膨胀期白内障手术 

分 类 号：R779.66[医药卫生—眼科]