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连续环形撕囊在小切口非乳化白内障手术中的应用

Application of continuous circular capsulorhexis in small incision cataract surgery

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【作者】 刘方毅高云霞张迎秋

【Author】 LIU Fang-yi,GAO Yun-xia,ZHANG Ying-qiu.The People’s Hospital of Linyi City,Linyi,Shandong 276003,China

【机构】 山东省临沂市人民医院眼科山东省临沂市人民医院眼科 山东临沂276003山东临沂276003山东临沂276003

【摘要】 目的 探讨连续环形撕囊在小切口非超声乳化白内障手术中应用的效果。方法 对 2 2 6例 ( 2 43眼 )老年性白内障小切口非超声乳化囊外摘出术中施行前囊连续环形撕囊术。结果  2 43眼中 2 2 8眼 ( 93 .82 % )顺利完成连续环形撕囊 ,179眼 ( 73 .66% )将晶状体核自囊袋旋拨至前房 ,其中Ⅰ级核 16眼和Ⅱ级核 93眼全部旋拨成功 ,Ⅲ级核 70眼旋拨成功 (占 61.95 % ) ,部分病例 ,需做前囊松解切口。结论 连续环形撕囊用于小切口非超声乳化白内障囊外摘出手术时 ,在Ⅰ、Ⅱ级核是安全有效的 ,部分Ⅲ级核及Ⅳ级核做前囊松解切口后也能顺利成功。

【Abstract】 Objective To evaluate the efficiency of continuous circular capsulorhexis(CCC) in non-phaco extracapsular cataract extraction through a small incision.Method Through small incision,non-phaco extracapsular cataract extraction with CCC were performed on 243 eyes of 226 cases.Results Successful CCC were performed on 228 eyes (93.8%) The lens nucleus were stirred from capsular bag to anterior chamber with rotation on 179 eyes (73.66%),including 16 eyes of Ⅰ grade nucleus,93 eyes of Ⅱ grade nucleus and 70 eyes of Ⅲ grade nucleus Conclusion When using CCC in non-phaco cataract extraction through small incision,it is safer and effective on Ⅰ and Ⅱgrade nucleus ,but Ⅲ and Ⅳgrade nucleus need partly releasing the capsular incision.

  • 【文献出处】 眼外伤职业眼病杂志.附眼科手术 ,Chinese Journal of Ocular Trauma and Occupational Eye Disease(With Ophthalmic Surgery) , 编辑部邮箱 ,2004年09期
  • 【分类号】R779.66
  • 【被引频次】4
  • 【下载频次】33
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