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连续弧线形撕囊(ContinuouscurvilinealcapsulorhexisC.C.C.)是白内障超声乳化术中一个重要的步骤,它提供一个边缘光滑的前囊膜环形开口,确保了晶体悬韧带及周边囊膜的完整。本文统计分析600眼C.C.C.成败结果及原因,并介绍了手术技巧。共成功518眼,占86.33%,认为失败的主要原因是白内障皮质乳化膨胀引起前囊膜表面张力增高及调整和控制撕囊时的用力方向不当,作者体会到成功的关键是:①充分散瞳,②保持前房深度,③降低前囊膜的表面张力,④使用精良的撕囊器械,⑤选择正确的撕囊起点,⑥适时调整和控制撕囊时的用力方向,⑦控制撕囊的大小、速度和撕开方向,⑧选择正确的撕囊口的首尾连接方式
Continuous curvilinear capsulorhexis (C.C.C.) is an important step in cataract phacoemulsification. It provides a smooth, anterior annular annulus opening that ensures the integrity of the crystalline zonules and surrounding capsular membranes. This article statistically analyzes 600 eyes C. C. C. Success and failure results and causes, and introduced the surgical skills. A total of 518 eyes were successful, accounting for 86.33%, that the main reason for the failure is due to cataract cortical emulsion expansion caused by increased surface tension of the anterior capsule and adjust and control force when the direction of the capsulorhexis inappropriate, the author learned that the key to success is: ① full Mydriasis, ② maintain anterior chamber depth, ③ reduce the surface tension of the anterior capsule, ④ the use of sophisticated capsulorhexis apparatus, ⑤ choose the correct starting point of capsulorhexis, ⑥ timely adjustment and control force direction when the capsulorhexis, ⑦ control capsulorhexis The size, speed and tear open direction, ⑧ choose the correct end of the capsulorhexis connection