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目的:分析白内障术后囊袋收缩综合征的临床特点、发生原因,并探讨预防及治疗措施。方法:对318例(345 眼)1个月-4个月的白内障术后患者进行散瞳检查,观察前囊形态,撕囊口大小变化及人工晶体位置。结果:连续环形撕囊(CCC) 的313眼中82眼前囊无明显纤维化;143眼CCC边缘纤维化、增厚,CCC直径缩小≤1mm;67眼CCC直径缩小在1mm-2mm 之间,伴有人工晶体轻度偏位;3眼CCC直径缩小大于2mm伴人工晶体明显偏住。开罐式截囊患者较少发生此类情况。结论: 囊袋收缩综合征是连续环形撕囊所特有的一种并发症,预防其发生可以提高和保持术后长期良好的视觉效果。
Objective: To analyze the clinical features and causes of capsular stenosis syndrome after cataract surgery and to explore the preventive and therapeutic measures. Methods: Mydriatic examination was performed in 318 patients (345 eyes) with 1 month to 4 months after cataract surgery. The morphology of anterior capsule and the size of capsulorhexis were observed. The location of intraocular lens (IOL) was also observed. RESULTS: In the 313 eyes of CCC, there was no fibrosis in 82 anterior capsule. In 143 eyes, CCC margin fibrosis was thickened and the diameter of CCC was reduced to less than 1 mm. The CCC diameter in 67 eyes was reduced to between 1 mm and 2 mm with IOL slightly offset; 3 CCC diameter is smaller than 2mm with artificial crystal obviously deviate. Occasionally occur in patients with open can of capsulotomy. CONCLUSIONS: Systolic capsular syndrome is a unique complication of continuous circumferential capsulorhexis. Preventing its occurrence can improve and maintain long-term good visual effects.