引用本文:韦乐强.信封式后囊剪除术治疗纤维性后发障32例的疗效观察[J].中国临床新医学,2013,6(10):990-992.
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信封式后囊剪除术治疗纤维性后发障32例的疗效观察
韦乐强
545001 广西,柳州市眼科医院眼科
摘要:
[摘要] 目的 探讨信封式后囊膜剪除术治疗纤维性后发障的方法、疗效及并发症。方法 选择该院32例明确诊断为纤维性后发障患者行信封式后囊膜剪除术治疗,记录手术前后视力、眼压变化以及术后并发症的发生情况。结果 所有患者均成功剪除瞳孔区的后发障组织,恢复透明,视力提高,从术前平均视力0.15恢复到术后第1天平均视力0.3,术后1周平均视力0.6,无一例发生人工晶体移位、视网膜脱离、黄斑水肿等并发症。结论 信封式后囊膜剪除术是治疗纤维性后发障的一种行之有效的方法,但因该术式对手术医师技术要求高,建议应严格把握手术适应证。
关键词:  信封式剪除  纤维性后发障  手术
DOI:10.3969/j.issn.1674-3806.2013.10.22
分类号:R 77
基金项目:
Evelope posterior capsulectomy in the treatment of 32 patients with posterior capsule opacification
WEI Le-qiang
Department of Ophthalmology,Eye Hospital of Liuzhou City,Guangxi 545001,China
Abstract:
[Abstract] Objective To explore the efficacy and complications of envelope posterior capsulectomy in the treatment of fibrous posterior capsule opacification(PCO).Methods A retrospective analysis was performed of complete follow-up data of 32 patients fibrous PCO undergoing the evelope posterior capsulectomy including visual acuity, intraocular pressure,and postoperative complications before and after surgery.Results All patients were successfully cut off the PCO tissue in the pupil area, the transparency recovered,visual acuity improved from preoperative average 0.15 to 0.3 at fist postoperative day and reached 0.6 at 1 week after operation. No cases of lens displacement, retinal detachment, macular edema and other complication were found.Conclusion Envelope posterior capsulectomy in the treatment of fibrous PCO is an effective method, but the surgeon should have skilled technology and strictly grasp the indications for surgery.
Key words:  Envelope capsulectomy  Fibrous posterior capsule opacification  Surgery