[1]曾原,邓江稳.连续环形撕囊制作大直径前囊口在手法无缝线白内障囊外摘出术中的应用[J].眼科新进展,2014,34(8):748-750.[doi:10.13389/j.cnki.rao.2014.0205]
　ZENG Yuan,DENG Jiang-Wen.Continuous curvilinear capsulorhexis of large size in manual sutureless extracapsular cataract extraction[J].Recent Advances in Ophthalmology,2014,34(8):748-750.[doi:10.13389/j.cnki.rao.2014.0205]
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连续环形撕囊制作大直径前囊口在手法无缝线白内障囊外摘出术中的应用
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
34卷
期数:
2014年8期
页码:
748-750
栏目:
应用研究
出版日期:
2014-08-05

文章信息/Info

Title:
Continuous curvilinear capsulorhexis of large size in manual sutureless extracapsular cataract extraction
作者:
曾原; 邓江稳
云南省昆明市，成都军区昆明总医院眼科
Author(s):
ZENG Yuan; DENG Jiang-Wen
关键词:
连续环形撕囊; 手法无缝线白内障囊外摘出术; 脱核; 后囊破裂; 角膜水肿
Keywords:
continuous curvilinear capsulorhexis ;  manual sutureless extracapsular cataract extraction ;  prolapse of nucleus ;  posterior capsular rupture ;  corneal edema
DOI:
10.13389/j.cnki.rao.2014.0205
文献标志码:
A
摘要:
目的　探讨以连续环行撕囊方法制作大直径前囊口在手法无缝线白内障囊外摘出术中的安全性及有效性。方法　采用手法无缝线白内障囊外摘出术对五三五医院住院的１４４３例（１９６５眼）白内障患者进行手术，术中采用连续环行撕囊法制作直径７～８ｍｍ的前囊口，对患者术中撕囊是否成功、有无后囊破裂、术后角膜水肿及视力等情况进行统计学分析，研究其手术价值。结果　１９４２眼（９８．８％）连续撕囊成功；１５眼（０．８％）囊膜瓣向周边撕裂不能挽救，留有放射状裂口１个；８眼（０４％）因为囊膜钙化、机化等原因，无法常规撕囊，采用囊膜剪开及截囊等方法完成前囊开口。所有病例均无后囊破裂等并发症发生，并顺利植入人工晶状体。术后一过性角膜水肿３６眼（１．８％），术后９０ｄ视力＞０．５者１６７４眼（８５．２％），＞０．３者１８７８眼（９５６％）。结论　在手法白内障术中用连续环形撕囊方法制作大于常规直径的前囊口，使手术安全性提高，值得推广和应用。
Abstract:
Objective To evaluate the efficacy and safety of continuous curvilinear capsulorhexis ( CCC) in large size rn manual sutureless extracapsular cataract extraction( ECCE) . Methods The clirucal data of 1443 patients ( 1965 eyes) who underwent ECCE in which large continuous curvilinear capsulorhexis ( 7 - 8 mm) were performed were analyzed . the related complications such as capsule rupture , corneal edema and visual conditions were statistically analyzed and compared. Results In 1942 eyes (98. 8% ) ,CCC with large size were performed successfully;ln 15 eyes(0. 8% ) .a radial tear which could not be saved was left when a CCC performed ;In 8 eyes ( 0. 4% ) , a CCC could not be done due to calcification of the anterior capsule. No posterior capsular rupture occurred. All eyes were implanted with IOL in the posterior chamber successfully. The incidence of transient corneal edema was l. 8% ( 36 eyes) . The visual acuity in 1674 eyes ( 85. 2% )were equal to or more than 0. 5 and 1878 eyes ( 95. 6% ) were equal to or more than 0. 3 at postoperative 90 days. Conclusion Large CCC technique for manual sutureless ECCE is safe and reliable , and worthy of application in basic medical institutions.

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更新日期/Last Update: 2014-07-30