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原位碎核的超声乳化白内障摘除术
引用本文:李绍珍,刘奕志.原位碎核的超声乳化白内障摘除术[J].中华眼科杂志,1996,32(2):92-94.
作者姓名:李绍珍  刘奕志
作者单位:中山医科大学中山眼科中心
摘    要:目的探讨防止晶体核脱入前房的超声乳化碎核技术。方法采用原位碎核技术对52例(55只眼)老年性白内障施行白内障超声乳化摘除及后房型人工晶体植入术。结果92.72%的晶体核原位粉碎乳化吸出,超声乳化晶体核平均耗时2.26分钟。术中玻璃体脱出的发生率为5.46%,角膜内皮丢失率约12.13%,术后1周,72.72%术眼视力超过0.5。结论选择相对软的晶体核、完整的环形撕囊、充分的水化分离及象限性粉碎是保证原位碎核技术的关键。

关 键 词:白内障摘除术  晶体.人工

Cataractextractionbyphacoemulsificationusinginsitunuclearfracturetechnique
LiShaozhen,LiuYizhi.ZhongshanOphthalmicCenter,SunYat-senUniversityofMedicalSciences,Guangzhou.Cataractextractionbyphacoemulsificationusinginsitunuclearfracturetechnique[J].Chinese Journal of Ophthalmology,1996,32(2):92-94.
Authors:LiShaozhen  LiuYizhiZhongshanOphthalmicCenter  SunYat-senUniversityofMedicalSciences  Guangzhou
Institution:LiShaozhen,LiuYizhi.ZhongshanOphthalmicCenter,SunYat-senUniversityofMedicalSciences,Guangzhou510060
Abstract:ObjectiveThestudywasdesignedtoinvestigatethetechniqueofphacoemulsif-icationinwhichthelensnucleusisfracturedwithoutcolapseofnucleusintoanteriorchamber.MethodsPhacoemulsificationusinginsitunuclearfracturetechniquewithposteriorchamberin-traocularlensimplantationwasperformedon55eyesof52patientswithsenilecataract.ResultsTheinsitunuclearfracturetechniquewassuccessfulycompletedin92.72%ofaltheeyes;theaver-agetimeoflensphacoemulsi-ficationwas2.26minutes;therateofvitreouslosswas5.46%;therateofcornealendothelialcellosswas12.13%;andoneweekaftertheoperation,thevisualacuitiesof0.5orbetterwereobtainedin72.72%ofthecases.ConclusionThekeypointsofinsitufracturetechniquebyphacoemulsificationincludeselectionofsofternucleus,continuousring-shapedcapsu-lorhexis,completehydrodissectionandfractureofthenucleusquadrantbyquadrant.
Keywords:CataractextractionLenses  intraocular  
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