论文部分内容阅读
目的 探讨采用 期后囊环形切除联合前段玻璃体切除术预防性治疗白内障超声乳化术后后囊混浊的临床疗效。方法 对 15 3例 (197只眼 )行白内障超声乳化吸除联合人工晶状体植入术 ,且在术中应用玻切头对后囊行 期环形切除加前段玻璃体切除术 ,随访一年以上 ,评价其手术疗效。结果 最佳矫正视力 :1.0以上者 73只眼 (37.1%) ,0 .5～ 0 .9者 81只眼 (41.1%) ,0 .1～ 0 .4者 40只眼 (2 0 .3%) ,小于 0 .1者 3只眼 (1.5 %)。手术主要并发症为出现新生膜性混浊。结论 期行后囊环形切除联合前段玻璃体切除术是处理和预防白内障超声乳化术后后囊混浊的有效方法 ,方法简便 ,安全有效 ,对无明显视网膜脱离高危因素者 ,疗效可靠 ,值得推广。
Objective To investigate the clinical effect of posterior capsular ring excision combined with anterior vitrectomy for the prophylactic treatment of posterior capsular opacification after cataract phacoemulsification. Methods 153 cases (197 eyes) underwent cataract phacoemulsification combined with intraocular lens implantation, and intraoperative posterior capsular ring resection plus anterior vitrectomy, follow-up more than one year, the evaluation The surgical efficacy. Results The best corrected visual acuity was 73 eyes (37.1%) of 1.0 or more, 81 eyes (0.5% ~ 0.9%) and 40 eyes (20.3%) of 0.1 ~ 0.4 eyes ), 3 eyes (1.5%) less than 0.1. The main complication of surgery is the emergence of nasal membrane opacity. Conclusions Posterior capsular ring resection combined with anterior vitrectomy is an effective method for the treatment and prevention of posterior capsule opacification after phacoemulsification. The method is simple, safe and effective. It is reliable and worthy of promotion for those who have no obvious risk of retinal detachment.