目的:评价Nd∶YAG激光治疗后发性白内障的临床疗效、安全性及治疗要点。方法:对723例770眼明显影响视力的后发性白内障患者用Nd∶YAG激光进行治疗,根据患者的不同情况选择术前处理方式,切开能量以切开囊膜的最小能量开始。结果:一次截囊成功率99.1%;所有患者术后随访4～12mo,术后视力均明显提高,由术前平均视力0.22提高到0.50。并发症有人工晶状体小凹86眼(11.2%),一过性眼压升高7眼(0.9%),玻璃体疝2眼(0.3%)。结论:Nd∶YAG激光后囊膜切开术治疗后发性白内障安全且疗效肯定;掌握治疗时机,针对患者的具体情况选择术前处理方式能提高治疗的效果及安全性。

·AIM:To evaluate the effect of Nd∶YAG laser for after cataract.·METHODS:A total of 723 cases 770 eyes of after cataract were treated by Nd∶YAG laser.Different patients were treated according to different conditions.·RESULTS:The success rate was 99.1%.The follow-up time was 4-12 months.The average visual acuity of all cases was improved from 0.22 to 0.50.The complications included the damage of lens in 86 eyes(11.2%),transient high intraocular pressure in 7 eyes(0.9%)and vitreous hernia in 2 eyes(0.3%).·CONCLUSION:Nd∶YAG laser is a safe and effective method for posterior capsulotomy.Different treatment according to different patients can improve effect and safety.·

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中国广西壮族自治区卫生厅立项课题资助项目(No.Z2006152)~~