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[摘要]
目的:探讨小切口非超声乳化白内障术中后囊膜破裂非缝线固定后房型人工晶状体植入术的方法和疗效。
方法:对于31例31眼白内障患者在行小切口白内障术时均行环形撕囊,术中发现后囊膜破裂后防止后囊膜破口扩大,处理玻璃体后充分利用残余的囊膜植入后房型人工晶状体。
结果:术后1wk矫正视力≥0.5者25例(80.6%); 术后3mo,矫正视力≥0.5者26例(83.9%)。
结论:非缝线固定后房型人工晶状体植入术是处理后囊膜破裂的一种方便、有效的方法。
[Key word]
[Abstract]
AIM: To investigate the effect and skill of posterior chamber intraocular lens implantation withoutsuture for posterior capsule rupture of cataract.
METHODS: Totally 31 cases(31 eyes)of cataract patients underwent continuous curvilinear capsulorhexis(CCC). When finding the posterior capsule rupture in small incision cataract surgery, the surgeon prevented expansion of posterior capsule rupture. After vitrectomy, the surgeon implanted posterior chamber intraocular lens by residual posterior capsule or anterior capsule.
RESULTS: After 1 week, corrected visionin 80.6% eyes were more than 0.5. After 3 months follow-up, corrected vision in 83.9% eyes were more than 0.5. 31 eyes had no serious complication.
CONCLUSION: Posterior chamber intraocular lens implantation withoutsuture is effective and convenient in the treatment of posterior capsule rupture.
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