[1]徐欢欢,顾耀武,赵长霖,等.白内障超声乳化术后囊袋收缩综合征的临床分析[J].眼科新进展,2015,35(1):071-74.[doi:10.13389/j.cnki.rao.2015.0020]
　XU Huan-Huan,GU Yao-Wu,ZHAO Chang-Lin,et al.Clinical analysis of capsule contraction syndrome following cataract phacoemulsification surgery[J].Recent Advances in Ophthalmology,2015,35(1):071-74.[doi:10.13389/j.cnki.rao.2015.0020]
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白内障超声乳化术后囊袋收缩综合征的临床分析
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年1期
页码:
071-74
栏目:
应用研究
出版日期:
2015-01-05

文章信息/Info

Title:
Clinical analysis of capsule contraction syndrome following cataract phacoemulsification surgery
作者:
徐欢欢; 顾耀武; 赵长霖; 黄振平
２１０００２　江苏省南京市，南京大学医学院金陵医院（南京军区南京总医院）眼科
Author(s):
XU Huan-Huan;  GU Yao-Wu ;  ZHAO Chang-Lin ;  HUANG Zhen-Ping
Department of Ophthalmology,Jinling Hospital(Nanjing General Hospital of Nanjing Military Command),School of Medicine,Nanjing University, Nanjing 210002,Jiangsu Province, China
关键词:
白内障超声乳化; 连续环形撕囊; 囊袋收缩综合征
Keywords:
cataract phacoemulsification ;  continuous curvilinear capsulorhexis ;  capsule contraction syndrome
DOI:
10.13389/j.cnki.rao.2015.0020
文献标志码:
A
摘要:
目的　探讨白内障超声乳化联合人工晶状体植入术后囊袋收缩综合征（ｃａｐｓｕｌｅｃｏｎｔｒａｃｔｉｏｎｓｙｎｄｒｏｍｅＣＣＳ）的临床特征、危险因素、治疗效果以及预防措施。方法　回顾性分析２０１０年１１月至２０１３年５月期间，我科收治的白内障超声乳化术后发生ＣＣＳ的患者１２例（１２眼）。分析ＣＣＳ患者的临床特征、行白内障超声乳化术时合并的系统和眼部疾病、ＣＣＳ发生的时间、晶状体前囊膜病理检查结果、手术和激光治疗的效果、术后并发症以及预防措施。结果　１２例患者均有晶状体前囊膜收缩症状，后囊膜间隙均可见乳靡状液体。ＣＣＳ发生于白内障超声乳化联合人工晶状体植入术后时间为１～１２０（５１．５４±１３．４０）个月。其中有系统和眼部合并症的患者发生ＣＣＳ的时间与没有合并症的患者差异有统计学意义（Ｐ＝０．０３１），且发生于白内障超声乳化联合人工晶状体植入术后的时间较早。晶状体前囊膜病理检查显示：晶状体前囊膜水肿、纤维组织增生及透明样变性。其中１０例ＣＣＳ患者行手术治疗，２例行ＮｄＹＡＧ激光晶状体前囊膜切除术治疗。两种方法治疗术后１个月（ｔ＝２．４９４，Ｐ＝００３）、３个月（ｔ＝７３８０，Ｐ＝０．００）视力均较术前有所改善，术后１个月、３个月随访均未出现并发症。结论　对行白内障手术合并有葡萄膜炎、青光眼以及糖尿病等危险因素的患者要积极预防ＣＣＳ的发生。
Abstract:
Objective To explore medical features, risk factor. treatment and prevention of capsule contraction syndrome ( CCS) after phacoemulsification and intraocular lens implantation. Methods Twelve cases with CCS from November 2010 to May 2013 after continuous curvilinear capsulorhexis were retrospectively analyzed. The clinical features , combined system and eye diseases when performing phacoemulsification, appearing time of CCS after phacoemulsification , anterior capsule pathological examination results. effects of surgery and laser treatment, postoperative complications and preventive measures were observed and recorded. Results All 12 cases had the clinical features of CCS , and the white milky liquid could be seen in the gap of posterior capsule. The mean appearing time of CCS after phacoemulsification was (51. 54 + 13. 40 ) months ( from I month t0 120 months) . The appearing time of CCS after phacoemulsification in patients with ocular or systematic disease had statistical difference compared with patients with ocular or systematic disease ( P = 0. 031 ) . Pathological examination revealed that the anterior lens capsule with edema, fibrosis and hyaline degeneration were seen. Ten cases underwent surgical treatment ,2 cases underwent Nd :YAG laser anterior capsular membrane excision. The postoperative visual acuity were improved at I month ( t = 2. 494 ,P = 0. 03 ) .3 months ( t = 7. 380 .P = 0. 00 ) after treatment with no obvious complications. Conclusion The prevention of CCS should be made for the patients with uveitis , glaucoma and diabetes before phacoemulsification and intraocular lens implantation.

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更新日期/Last Update: 2015-01-04