| 摘要: |
| ［摘要］ 目的 探讨Nd：YAG激光以不同处理方式治疗后发性白内障的效果。方法 对62例（62眼）后发性白内障患者随机分为A组（31例）和B组（31例）：A组在表面麻醉后放置接触镜下行激光治疗；B组在不需表面麻醉不放置接触镜情况下直接行激光治疗。所有患者术后随访6～12个月。结果 62例62眼术后视力均有不同程度提高，增视率为100%；A组、B组术后视力与术前比较差异均有统计学意义（P均<0.01）；激光治疗时间B组（4.62±1.54）min较A组（7.42±1.85）min短（P<0.01）；两组术后未见严重并发症发生。结论 采用不表麻不放置角膜接触镜直接行Nd:YAG激光后囊膜切开术治疗后发性白内障，操作简易，疗效确切。 |
| 关键词: 人工晶状体 后发性白内障 Nd：YAG激光 |
| DOI：10.3969/j.issn.1674-3806.2012.12.12 |
| 分类号:R 77 |
| 基金项目: |
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| Clinicai observation on Nd:YAG laser in the treatment of patients with after-cataract by different preoperative managements |
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XIE Wei, YAO Shu-ling, ZHANG Yan, et al.
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Department of Ophthalmology, the Second Affiliated Hospital of Bangbu Medical University,Anhui 233040,China
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| Abstract: |
| ［Abstract］ Objective To study the effects of Nd:YAG laser with different preoperative managements for after-cataract.Methods Sixty-two cases (62 eyes) with after-cataract were divide into two groups and treated with Nd:YAG laser.Surface anaesthesia and contact mirror were used before taking laser treatment under preset lens in group A;laser treatment was directly taken without management in group B. The follow up time was 6 to 12 months.Results Visual acuity improved at different levels after Nd: YAG laser treatment in 62 eyes of 62 cases,the improved rate of visual acuity was 100%. There were significant differences of visual acuity in A group and for group B between re-operation and post-operation (P all<0.01). The time of laser treatment in group B （4.62±1.54）minutes was shorter than that in group A（7.42 ±1.85） minutes,there was signifacant difference between the two group (P<0.01). No serous complication was found in both two group postoperatively.Conclusion Nd:YAG laser without surface anaesthesi and contact mirror is a simple and reliable treatment for after-cataract too. |
| Key words: Intraocular lens After-cataract Nd:YAG laser |
