YAG激光治疗后发障的临床应用探讨

目的：探讨并评价人工晶体植入术后YAG激光治疗后发障的方法。疗效及安全性。方法：使用国产YAG激光仪治疗后发障87只眼，必要者术后短期局部滴用糖皮质激素以控制炎症，除膜或造孔成功后随访视力变化。结果：5只眼的人工晶体前膜均一次性切除吸收；80只眼的混浊后囊膜被一次或分次切穿造孔成功；2只眼由于增殖机化膜呈茧样包裹人工晶体，改为全麻下手术治疗，激光治疗成功率为97.6%，视力均有不同程度的提高。结论：YAG激光治疗后囊膜混浊或人工晶体前膜安全有效。但必须掌握手术时机和操作技巧。并取得患者的合作，以减少并发症的发生。

Clinical assessment of YAG laser in the treatment of after-cataract

Objective:To assess the methods,efficacy and safety of YAG laser in cutting the opacified posterior capsular membrane or clearing the anterior fibrinous membrane after the implantation of posterior chamber intraocular lens.Methods:Eighty seven eyes were treated with YAG laser.Topical steroids were prescribed for a short period after treatment to control the intraocular inflammation,when necessary.Visual acuities were followed up.Results:After the laser cutting,the anterior membrane in 5 eyes was successfully cleared;The opacified posterior capsular membranes of 80 eyes were cut open;The other 2 eyes were treated by operation under general anaesthesia,as the intraocular lens were wrapped by a thick cocoon like membrane.The success rate was 97.6%.Conclusions:Opacified posterior capsular membrane and anterior membrane can successfully be treated with YAG laser.But the operation should be done timely and skillfully so that the complications can be minimized.