[关键词]
[摘要]
目的：探讨白内障超声乳化联合人工晶状体植入术及白内障囊外摘除联合人工晶状体植入术所致角膜后弹力层脱离的原因及有效诊疗方法。
方法：回顾性分析2015-01/2017-12在我院行白内障超声乳化联合人工晶状体植入术或白内障囊外摘除联合人工晶状体植入术的2 006例2 069眼，对术中或者术后发生角膜后弹力层脱离的26例26眼患者的诊疗及预后进行临床观察。
结果：发生不同程度角膜后弹力层脱离的26例26眼患者经相应治疗，未发生角膜内皮失代偿。角膜水肿消退，恢复透明，视力不同程度地提升。UBM检查证实后弹力层复位。
结论：白内障术中术后及时发现，根据不同情况选择合适的治疗方法，是治疗白内障术后角膜后弹力层脱离，恢复患者视力的关键。
[Key word]
[Abstract]
AIM: To investigate the causes and effective diagnosis and treatment of Descemet's membrane detachment in the patients received phacoemulsification combined with intraocular lens implantation and extracapsular cataract extraction combined with intraocular lens implantation.
METHODS: A retrospective analysis was applied for 2 069 eyes in 2006 patients which had received one of above-mentioned surgeries from January 2015 to December 2017. The treatment and prognosis of 26 patients(26 eyes)who had the complication of Descemet's membrane detachment during or after the surgery were observed.
RESULTS:After the appropriate treatment, no corneal endothelial decompensation happened in the 26 patients, and the visual acuity was improved to different extent. UBM confirmed that the Descemet's membrane was reset.
CONCLUSION: Early detection and appropriate treatment of Descemet's membrane detachment is important for the visual acuity recovery.
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