白内障超声乳化术中后囊破裂的分析及处理

目的探讨白内障超声乳化人工晶状体植入术中后囊破裂的原因和处理方法。方法365例(365只眼)白内障实施超声乳化人工晶状体植入术,对其中发生后囊破裂的情况、处理的方法、并发症进行分析。结果后囊破裂者26只眼,发生于水分离时2只眼、超声乳化时21只眼、注吸皮质时3只眼。人工晶状体囊袋内植入7只眼、睫状沟植入14只眼、巩膜缝线固定5只眼。术后3个月视力0.6以上者19只眼,0.3以上者5只眼,未见严重并发症。结论超声乳化技术娴熟和及时发现并妥善处理后囊破裂是提高手术效果的关键。

Treatment and analysis of posterior capsular in cataract phacoemulsification

Objective To analyze the cause of posterior capsular rupture in phacoemulsification and investigate the treatment. Methods Phacoemulsification with intraocular lens implantation was performed on 365 patients (365eyes).Circumstances of posterior capsular rupture was analyzed and summarized. Results Posterior capsular rupture occurred in 26 eyes during operation. It occurred during water separating in 2 eyes ; phacoemulsification in 21 eyes ; I/A cortex in 3 eyes. IOL was embedded in all eyes. The vision acuity was better than 0.6 in 15 eyes, 0.3 in 5 eyes after 3 months postoperatively. We did not observe severe syndrome. Conclusion Phaco techno-skilled and treatment the posterior capsule rupture correctly on time can improve the effects of operation.