论文部分内容阅读
目的探讨人工晶体植入术玻璃体脱出的原因及处理方法。方法分析了３８例人工晶体植入术中玻璃体脱出患者。结果外伤而致术前已存在后囊破裂，术中玻璃体脱出较少，破损不易扩大，玻璃体剪原位剪断玻璃体及应用粘稠剂，效果良好。手术中由于操作引起的后囊破损，玻璃体脱出，其原因依次为冲洗皮质时，挽核，处理后囊，截囊及植入时。根据情况用原位玻璃体剪剪断玻璃体法或用玻璃体切割器行前部玻璃体切除术，根据后囊破损及前囊膜情况选择不同的人工晶体及植入方法。本组平均术后视力≥０５者为８９４％，并发症较轻。结论应正确处理术中玻璃体脱出，并根据情况选用人工晶体及植入方法
Objective To investigate the causes and treatment of vitreous prolapse with intraocular lens implantation. Methods 38 patients with vitreous prolapse during intraocular lens implantation were analyzed. Results The traumatic injury resulted in the posterior capsule rupture. The intraoperative vitreous body prolapse was less and the damage was not easy to enlarge. The vitrectomy and the application of viscous agent in vitrectomy were effective. Operation due to posterior capsule damage caused by surgery, vitreous prolapse, the reason followed by washing the cortex, pull the nucleus, the treatment of posterior capsule, capsulotomy and implantation. According to the situation with in situ vitrectomy cut vitrectomy or vitrectomy line anterior vitrectomy, according to the posterior capsule lesions and anterior capsular select different artificial lens and implantation method. The average postoperative visual acuity ≥ 0.5 was 89 4%, less complications. Conclusions Intraoperative vitreous prolapse should be correctly treated and the method of intraocular lens implantation