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[摘要]
目的:探讨Nd:YAG激光松解切开术治疗晶状体后囊膜皱褶的效果。
方法:术前爱尔卡因表面麻醉下置CGP角膜接触镜,借助瞄准光,准确聚焦于皱褶上,发射Nd:YAG激光,单脉冲松解皱褶能量为0.4~1.0mJ,每次治疗总量为20~30(平均24.00±0.0625)mJ。
结果:后囊膜皱褶激光松解切开术后矫正视力1.0者31眼(58%),0.6~0.8者17眼(32%),0.4~0.5者5眼(9%)。裂隙灯下观察未发生人工晶状体损伤,无玻璃体疝、黄斑囊样水肿或视网膜脱离等并发症。
结论:用Nd:YAG激光松解切开术治疗晶状体后囊膜皱褶,可增进视力,疗效良好。
[Key word]
[Abstract]
AIM:To discuss the effect of Nd:YAG laser release incision of posterior capsular membrane ruffles.
METHODS: CGP corneal contact preparation was used after surface anesthesia by Alcaine focus on posterior capsular membrane ruffles acutely with aiming light emit Nd:YAG laser. The energy of mono pulse for cutting ruffle was 0.4-1.0mJ. The total energy was 20-30mJ(average 24.00±0.0625mJ).
RESULTS: The visual acuity correction was 1.0 in 31 eyes(58%)after the laser release incision, accounting for 0.6-0.8 in 17 eyes(32%), accounting for 0.4-0.5 in 5 eyes(9%).No complication like IOL injury, vitreous hernia, cystoid macular edema, retinal detachment occurred after the treatment.
CONCLUSION: Nd:YAG laser release incision of posterior capsular membrane ruffles improve the eyesight. It's simple, reliable safety and curative.
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