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后发性白内障Nd:YAG激光治疗的疗效探讨
引用本文:陶润平,赵坤明,陈共和,周容. 后发性白内障Nd:YAG激光治疗的疗效探讨[J]. 中国实用眼科杂志, 2001, 19(10): 749-750
作者姓名:陶润平  赵坤明  陈共和  周容
作者单位:暨南大学医学院附属第四医院,
摘    要:目的探讨NdYAG激光治疗后发性白内障的疗效.方法应用NdYAG激光分别对69例白内障超声乳化人工晶体植入术后发障进行后囊膜切开.结果69病例中,后囊膜混浊者共45例(65.2%),后囊膜皱褶者共12例(17.4%),既有后囊膜混浊又有后囊膜皱褶者共12例(17.4%);NdYAG激光后囊膜切开术前后视力有显著性差异(P〈0.005),69例中有60例经过NdYAG激光后囊膜切开术后视力达到了白内障超声乳化术后的最佳视力;但仍有9例未达到该最佳视力.结论"囊袋收缩综合征"影响NdYAG激光后囊膜切开术的治疗效果,白内障手术方法和人工晶体的选择可降低后发障的发生.

关 键 词:白内障 后囊膜混浊 Nd:YAG激光 治疗

Nd: YAG laser posterior capsulotomy for secondary cataract
Tao Runping,Zhao Kunming,Chen Gonghe,Zhou Rong. Nd: YAG laser posterior capsulotomy for secondary cataract[J]. Chinese Journal of Practical Ophthalmology, 2001, 19(10): 749-750
Authors:Tao Runping  Zhao Kunming  Chen Gonghe  Zhou Rong
Affiliation:Tao Runping,Zhao Kunming,Chen Gonghe,Zhou Rong Department of Ophthalmology,The Fourth Affiliated Hospital,Medical College of Ji-Nan University,Guangzhou 510220
Abstract:Objective: To evaluate the value of Nd: YAG laser posterior capsulotomy for secondary cataract after phacoemulsification. Methods: Nd: YAG laser posterior capsulotomy had been performed on 69 cases of secondary cataract after phacoemulsification. Results: The visual acuity after treatment increased significantly (P<0.005), but 9 patients of 69 could not reach the best vision acuity. "Capsule contraction syndrome" was a key factor for the prognosis of the procedure. Conclusions: "Capsule contraction syndrome" might play an important role for having effective outcome of Nd: YAG laser posterior capsulotomy for cataract.
Keywords:Secondary cataract   Posterior capsule opacity   Nd: YAG laser
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