吲哚青绿在白内障手术中前囊膜染色与切口愈合的临床观察

目的评价吲哚青绿晶状体前囊膜染色在连续环形撕囊中的有效性及其对术后角膜切口愈合的安全性。方法125例（125只眼）白内障患者随机分为2组观察组（吲哚青绿染色组）61只眼,对照组（空白组）64只眼。观察组采用吲哚青绿溶液前囊膜染色,对照组采用平衡盐灌注液作对比。结果观察组连续环形撕囊成功率96.72%,对照组连续环形撕囊成功率68.75%,2组差异有统计学意义（P〈0.05）；术后1d,3d,7d,1月,3月2组患者中连续环形撕囊成功者切口的透明角膜隧道的混浊程度：2组差异无统计学意义（P〉0.05）。结论吲哚青绿晶状体前囊膜染色能提高连续环形撕囊成功率,也不影响角膜切口的初期愈合过程。

The study on anterior lens capsule staining with indocyanine green and the effects on the corneal wound healing after cataract phacoemulsification

Objective To evaluate the efficacy and safety of indocyanine green（ICG） in staining human anterior lens capsule for continuous curvilinear capsulorhexis（CCC） and corneal wound healing. Methods 125 patients（125eyes） were randomly divided into ICG and control groups： ICG groups（61 eyes） used ICG in staining human anterior lens capsule and control groups used balanced salt solution instead. Results In operations performed with ICG staining technique, the CCC could be performed easily（P〈0.05）. The opaque cornea of the corneal wound healing showed no statistically significant difference（P〉0.05） 1day, 3day, 7day, 1month and 3months after surgery with both groups.Conclusion ICG dye staining is a useful technique in the cataract phacoemulsification and has no effects on the earlier corneal wound healing.