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Nd:YAG激光清除人工晶体前纤维膜及残留物

The removal of fibrinous membrane and remaining matters after cataract extraction and intraocular lens implantation by Nd:YAG laser

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【作者】 蔡季平; 魏锐利; 周浩; 周韵秋; 朱莉; 朱煌; 李由;

【Author】 Jiping Cai, Ruili Wei, HaoZhou, et al. Department of Ophthalmology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China

【机构】 中国上海长征医院眼科; 中国上海长征医院眼科 200003; 200003;

【摘要】 目的 评价Nd:YAG激光治疗白内障术后人工晶体前膜及残留物的临床疗效。方法 回顾性总结Nd:YAG激光治疗白内障术后人工晶体前膜及残留物共21例21眼;激光参数:单次脉冲能量0.8~3.5mJ,击发次数11~13次。结果 所有患者一次治疗均使瞳孔区透明,但有2例复发;术后视力提高率100%;术前视力平均0.22±0.17,术后平均0.42±0.12,激光治疗前后视力差别非常显著(P<0.01)。主要并发症:虹膜出血、人工晶体损伤和眼压升高,各有2例,各占9.5%。结论 Nd:YAG激光清除白内障囊外摘除术后人工晶体前膜及残留物安全、有效。

【Abstract】 Objective To evaluate the therapeutic effect of Nd:YAG laser on removing the fibrinous membrane and remaining matters after cataract extraction and intraocular lens implantation. Methods 21 eyes of 21 patients with fibrinous membrane and/or remaining matters after cataract extraction and intraocular lens implantation were subject to Nd:YAG laser explosion. The single pulse energy was 0.8~3.5 mJ and the total explosive times were 11-13 shots. Results All the patients had vision improvement. The average vision before and after laser treatment was 0.22±017 and 0.42±0.12, respectively. There was a signifcant difference between the two groups (P<0.01). Conclusion Nd:YAG laser is an effective method for the treatment of fibrinous membrane and remaining matters after cataract extraction and intraocular lens implantation.

  • 【文献出处】 美中国际眼科杂志 , 编辑部邮箱 ,2001年03期
  • 【分类号】R779.66
  • 【下载频次】21
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