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目的 讨论白内障囊外摘除术后囊破裂的术中处理方式及效果。方法 对 37例(37只眼 )白内障囊外摘除术后囊破裂的病例进行回顾性分析。结果 后囊中央裂口 <5mm ,周边缺损 <12 0 者 18只眼 ;后囊缺损而前囊膜周边完整者 8只眼 ,常规法植入人工晶体 ,术后反应轻微。后囊破裂超过上述范围 11只眼 ,玻璃体处理后行双侧晶体襻悬吊术 ,术后反应重。术后裸眼视力 0 .1～ 0 .3者 5只眼 ,0 .3～ 0 .5者 4只眼 ,>0 .5者 2 8只眼。结论 根据后囊破裂的程度和部位 ,采取正确的处理方式 ,可以取得较好的临床效果。
Objective To discuss the intraoperative management and effect of posterior capsular rupture after extracapsular cataract extraction. Methods Retrospective analysis of 37 cases (37 eyes) of posterior capsular rupture after extracapsular cataract extraction. Results The posterior capsular central cleft was less than 5mm and the peripheral defect was less than 12, while the posterior capsular defect and the anterior capsule were all intact, and the intraocular lens was implanted by conventional method. The postoperative reaction was slight. Posterior capsular rupture exceeded the above range of 11 eyes, bilateral vitreous body calcaneal suspension after surgery, postoperative re-reaction. Postoperative uncorrected visual acuity 0 .1 ~ 0. 3 in 5 eyes, 0 .3 ~ 0 .5 in 4 eyes,> 0 .5 eyes in 28 eyes. Conclusion According to the extent and location of posterior capsule rupture, taking the correct treatment can achieve better clinical results.