超声乳化术后人工晶体表面膜形成的临床分析

A Clinical Analysis of Fibrinous Membranes Formation after Phacoemulsification and Intraocular Lens Implantation

目的探讨白内障超声乳化联合后房型人工晶体植入术后，人工晶体表面膜形成的原因、治疗及预后。方法936眼超声乳化术后，用裂隙灯观察3个月，确定人工晶体表面膜形成发生的眼数及程度。结果在936眼中150眼有膜形成（16％），轻度91眼（61％），中度44眼（29％），重度15眼（10％）。术后常规给予皮质激素治疗者，高龄患者，及超声乳化时间长者，膜形成较少。结论膜形成的原因是复杂的，但提高手术技巧，尤其一定要尽可能吸干净残留皮质，术后给予积极的全身及局部抗炎处理是减少这一并发症的重要措施。

Approach a subject in the cause of fibrous membrane formation and the ways of treatment after phacoemulsification and intraoculr lens implantation. Method Observe 936 eyes under crevice light for 3 months to affirm the numbers and degrees of membrane formation. Results 150 eyes out of 936 cases developed fibrousmembrane (amount to 16 % ), light 91 eyes(61 % ); medium: 44 eyes (29 % ); sever: 15 eyes(10 % ). The post - operation patient with routine treatment of contison, venerable aged, as well as those with longer - time phacoemulsification extraction,less fibrous membrane formed. Conclusion The cause of membrane formation is complicatd. Improve the operation skill, especially extract the remaining cortex as clear as psssible, positive antibiotic and cortison treatment are the ways to decrease this complication.