發(fā)布時(shí)間：2018-06-03 21:31

  本文選題：白內(nèi)障 + 超聲乳化��； 參考：《眼科新進(jìn)展》2016年09期

【摘要】：目的探討白內(nèi)障超聲乳化術(shù)后囊袋皺縮綜合征的影響因素和危險(xiǎn)因素、臨床表現(xiàn),為減少白內(nèi)障術(shù)后囊袋皺縮綜合征提供可靠有效的預(yù)防方法。方法回顧性分析2014年10月至2015年6月在我院收治的行白內(nèi)障超聲乳化聯(lián)合人工晶狀體植入術(shù)的白內(nèi)障患者1028例(1242眼),術(shù)后1周、1個(gè)月、3個(gè)月、6個(gè)月、12個(gè)月復(fù)診,觀察患者視力、前囊口形態(tài)及直徑、IOL位置及形態(tài)。結(jié)果 1242眼中19眼發(fā)生囊袋皺縮綜合征,發(fā)生率1.53%。19眼中發(fā)生時(shí)間在術(shù)后3個(gè)月內(nèi)者15眼(78.95%),術(shù)中未行前囊膜拋光16眼(84.21%),撕囊口直徑過小(≤5 mm)16眼(84.21%),植入親水性丙烯酸酯人工晶狀體15眼(78.95%),合并全身或眼部疾病10眼(52.63%),術(shù)后炎癥反應(yīng)重8眼(42.11%)。囊袋皺縮綜合征可引起視力下降、遠(yuǎn)視漂移。結(jié)論白內(nèi)障術(shù)中撕囊口直徑過小、前囊膜下晶狀體上皮細(xì)胞殘留是術(shù)后發(fā)生囊袋皺縮綜合征的重要因素。人工晶狀體的選擇、合并全身或眼部疾病、術(shù)后炎癥反應(yīng)均是發(fā)生囊袋皺縮綜合征的影響因素。術(shù)中大小適宜的環(huán)形撕囊、前囊膜下環(huán)周晶狀體上皮細(xì)胞清除拋光可有效預(yù)防囊袋皺縮綜合征的發(fā)生。
[Abstract]:Objective to investigate the influencing factors and risk factors and clinical manifestations of capsular pouch syndrome after phacoemulsification in order to provide a reliable and effective method for the prevention of capsular pouch wrinkle syndrome after cataract phacoemulsification. Methods from October 2014 to June 2015, 1028 patients with cataract underwent phacoemulsification combined with intraocular lens implantation in our hospital were retrospectively analyzed. 1 week, 1 month, 3 months, 6 months and 12 months after operation, the visual acuity was observed. The shape and diameter of anterior capsule orifice and the position and shape of IOL. Results in 1242 eyes, 19 eyes developed pouch wrinkle syndrome. The incidence rate of 1.53.19 eyes occurred within 3 months after operation in 15 eyes (78.95 eyes), without anterior capsule polishing in 16 eyes (84.21 eyes), the diameter of capsulorhexis was too small (鈮，

本文編號(hào)：1974239