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目的 探讨白内障超声乳化术中后囊破裂的原因 ,评价术中后囊破裂Ⅰ期后房型人工晶体植入的疗效。方法 对 2 39例 (2 6 4只眼 )施行白内障超声乳化摘除术 ,术中后囊破裂 48例 (5 3只眼 ) ,45例 (5 0只眼 )行Ⅰ期后房型人工晶体植入 ,3例 (3只眼 )改行Ⅰ期前房型人工晶体植入。结果 术后 3mo随访 ,矫正视力 1 0以上者 2 0只眼(37 74% ) ,0 5～ 1 0者 2 6只眼 (49 0 6 ) ,0 5以下者 7只眼 (13 2 1% )。结论 术中后囊破裂的患者 ,利用残留的前后囊膜作为支掌 ,仍可Ⅰ期植入后房型人工晶体
Objective To investigate the causes of posterior capsule rupture during cataract phacoemulsification and to evaluate the effect of posterior chamber intraocular lens implantation after posterior chamber rupture. Methods 299 cases (264 eyes) underwent cataract phacoemulsification, 48 cases (53 eyes) of posterior capsule rupture and 45 cases (50 eyes) underwent posterior chamber intraocular lens implantation , 3 cases (3 eyes) diverted to stage I anterior chamber intraocular lens implantation. Results After 3 months of follow-up, 20 eyes (37 74%) had visual acuity of 10 or more, 26 eyes (0 to 60) and 7 eyes (13 2 1% ). Conclusions In patients with posterior capsule rupture, the use of residual anterior and posterior capsule as the palm, still can be implanted in posterior chamber intraocular lens