白内障手术中后囊膜连续环形撕囊术的应用  

Posterior Continuous Curvilinear Capsulorhexis In Cataract Operation

作　　者：王明举 刘麟娟 袁红 周开遗 

机构地区：[1]四川省人工晶体研究所,四川省白内障专科医院610031

出　　处：《中国实用眼科杂志》2003年第2期120-121,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :探讨Ⅰ期后囊膜连续环形撕囊术的临床应用价值。方法 :30 7例 393眼行白内障囊外摘除或白内障超声乳化吸除联合人工晶状体植入术、且在术中同时进行后囊膜连续环形撕囊术。其中白内障囊外摘除术 12 2眼 ,白内障超声乳化吸除术 2 71眼。随访 2～ 36月。结果 :视力在 1 0以上者 12 6眼占 32 % ,0 5～ 0 9者 170眼占 43 % ,0 1～ 0 4者 85眼占 2 2 % ,0 1以下者 12眼占 3 % ,新生膜 14眼 ,发生率 3 6 %。新生膜切开术 2眼 ,切开率 0 5 %。手术主要并发症有玻璃体内脱出。结论 :Ⅰ期后囊膜连续环形撕囊术是降低后囊膜混浊的一种简便、安全、有效的方法。Objective:To study the application of posterior continuous curvilinear capsulorhexis(PCCC). Methods:393 eyes of 307 cases of cataract including 122 eyes with ECCE and 271 eyes with phacoemulsification accepted PCCC and PC-IOL implantation.The postoperative follow-up was 2 to 36 months. Results:Of the 393 eyes,126(32%)had a final visual acuity of 1.0 or better,170(43%)between 0.5～0.9 and 85(22%)between 0.1～0.4 and 12(3%)0.1 or below.The newly formed fibrous membrane was found in 14 eyes(3.6%),which were cut in 2 eyes(0.5%).Main operative complication was internal vitreous prolapse. Conclusion:The technique of PCCC is safe and effective to reduce posterior capsule opacification.

关 键 词：白内障 应用 后囊膜连续环形撕囊术 后囊膜混浊 人工晶状体 

分 类 号：R776.1[医药卫生—眼科]