YAG激光治疗后发障的临床应用探讨  

Clinical assessment of YAG laser in the treatment of after-cataract

作　　者：李韵倩[1] 方丽[1] 

机构地区：[1]蚌埠医学院附属医院眼科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2003年第1期13-14,共2页Journal of Bengbu Medical College

摘　　要：目的 :探讨并评价人工晶体植入术后YAG激光治疗后发障的方法、疗效及安全性。方法 :使用国产YAG激光仪治疗后发障 87只眼 ,必要者术后短期局部滴用糖皮质激素以控制炎症。除膜或造孔成功后随访视力变化。结果 :5只眼的人工晶体前膜均一次性切除吸收 ;80只眼的混浊后囊膜被一次或分次切穿造孔成功 ;2只眼由于增殖机化膜呈茧样包裹人工晶体 ,改为全麻下手术治疗。激光治疗成功率为 97.6 %。视力均有不同程度的提高。结论 :YAG激光治疗后囊膜混浊或人工晶体前膜安全有效 ,但必须掌握手术时机和操作技巧 ,并取得患者的合作 。Objective:To assess the methods,efficacy and safety of YAG laser in cutting the opacified posterior capsular membrane or clearing the anterior fibrinous membrane after the implantation of posterior chamber intraocular lens.Methods:Eighty seven eyes were treated with YAG laser.Topical steroids were prescribed for a short period after treatment to control the intraocular inflammation,when necessary.Visual acuities were followed up.Results:After the laser cutting,the anterior membrane in 5 eyes was successfully cleared;The opacified posterior capsular membranes of 80 eyes were cut open;The other 2 eyes were treated by operation under general anaesthesia,as the intraocular lens were wrapped by a thick cocoon like membrane.The success rate was 97.6%.Conclusions:Opacified posterior capsular membrane and anterior membrane can successfully be treated with YAG laser.But the operation should be done timely and skillfully so that the complications can be minimized.

关 键 词：YAG激光 治疗 后发障 临床应用 人工晶体植入术 白内障 

分 类 号：R779.66[医药卫生—眼科] R779.63[医药卫生—临床医学]