本文選題：連續(xù)環(huán)形撕囊 + 手法無縫線白內(nèi)障囊外摘出術(shù)�。� 參考：《眼科新進展》2014年08期

【摘要】：目的探討以連續(xù)環(huán)行撕囊方法制作大直徑前囊口在手法無縫線白內(nèi)障囊外摘出術(shù)中的安全性及有效性。方法采用手法無縫線白內(nèi)障囊外摘出術(shù)對五三五醫(yī)院住院的1443例(1965眼)白內(nèi)障患者進行手術(shù),術(shù)中采用連續(xù)環(huán)行撕囊法制作直徑7~8 mm的前囊口,對患者術(shù)中撕囊是否成功、有無后囊破裂、術(shù)后角膜水腫及視力等情況進行統(tǒng)計學分析,研究其手術(shù)價值。結(jié)果 1942眼(98.8%)連續(xù)撕囊成功;15眼(0.8%)囊膜瓣向周邊撕裂不能挽救,留有放射狀裂口1個;8眼(0.4%)因為囊膜鈣化、機化等原因,無法常規(guī)撕囊,采用囊膜剪開及截囊等方法完成前囊開口。所有病例均無后囊破裂等并發(fā)癥發(fā)生,并順利植入人工晶狀體。術(shù)后一過性角膜水腫36眼(1.8%),術(shù)后90 d視力0.5者1674眼(85.2%),0.3者1878眼(95.6%)。結(jié)論在手法白內(nèi)障術(shù)中用連續(xù)環(huán)形撕囊方法制作大于常規(guī)直徑的前囊口,使手術(shù)安全性提高,值得推廣和應(yīng)用。
[Abstract]:Objective to investigate the safety and efficacy of large diameter anterior capsular orifice by continuous circular capsulorhexis in extracapsular cataract extraction. Methods 1443 cases of cataract were operated with manual seamless extracapsular cataract extraction (CSCL). The anterior capsular orifice with diameter of 7 ~ 8 mm was made by continuous circular capsulorhexis during the operation. Whether or not the capsulorhexis was successful during the operation. The postoperative corneal edema and visual acuity were analyzed statistically. Results 1942 eyes (98.8 eyes) successfully tore the capsule in 15 eyes (0.8%) the tear of the capsule flap to the periphery could not be saved, and the radial fissure was left in 1 eye (0. 4 eyes) because of the calcification and organization of the capsule membrane, it was impossible to tear the capsule routinely. The opening of anterior capsule was completed by cystectomy and cystectomy. No complications such as rupture of posterior capsule were found in all cases, and intraocular lens implantation was successful. Postoperative transient corneal edema was found in 36 eyes (1.8%) and visual acuity of 1674 eyes (1674 eyes) at 90 days after operation. Conclusion the method of continuous circular capsulorhexis is used to make the anterior capsule orifice larger than the conventional diameter in the manual cataract operation, which can improve the safety of the operation and be worth popularizing and applying.
【作者單位】： 成都軍區(qū)昆明總醫(yī)院眼科;解放軍五三五醫(yī)院眼科;
【分類號】：R779.66

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