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年龄相关性白内障超声乳化摘除IOL植入术并发症及处理 被引量:7

Clinical management of the complications of phacoemulsification combined with intraocular lens implantation in age-related cataract
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摘要 目的:探讨年龄相关性白内障超声乳化摘除人工晶状体(IOL)植入术常见并发症的发生原因及处理原则。方法:对578例603眼的术后并发症进行临床分析。结果:术后出现角膜内皮水肿42眼(7.0%),晶状体后囊膜破裂19眼(3.2%),暂时性高眼压29眼(4.8%),眼前节毒性综合征2眼(0.3%),黄斑囊样水肿2眼(0.3%),人工晶状体移位1眼(0.2%)。结论:并发症发生与超声乳化本身的损害因素及术者的操作技术及经验密切相关,术前应了解发生并发症的原因及症状,以便预防和处理。 AIM:To discuss the cause and management of the complications of phacoemulsification combined with intraocular lens(IOL)implantation in age-related cataract.METHODS:Totally 578 cases(603 eyes)of postoperative complications were clinically analyzed.RESULTS:Corneal endothelial edema was in 42 eyes(7.0%),ruptured posterior lens capsule 19 eyes(3.2%),temporary ocular hypertension 29 eyes(4.8%),toxic anterior segment syndrome 2 eyes(0.3%),cystoid macular edema 2 eyes(0.3%),IOL dislocation 1 eye(0.2%).CONCLUSION:Complications are related to the latent factors of phacoemulsification,surgical technique and experience of surgeons.Through understanding the reasons and symptoms of complications before the operation,the complications can be prevented and managed.
出处 《国际眼科杂志》 CAS 2011年第4期659-661,共3页 International Eye Science
关键词 年龄相关性白内障 超声乳化 并发症 age-related cataract phacoemulsitica-tion complication
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参考文献5

  • 1李凤鸣.中华眼科学.北京:人民卫生出版社,2006:2210.
  • 2Yilmaz A. Posterior chamber lens implantation techniques in posterior capsular rupture.Enr J Opbtbalmol 2004;14( 1 ) :7-13.
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二级参考文献7

  • 1SumruOnal, MD; Nilufer Gozum, MD.Visual Results and Complications of Posterior Chamber Intraocular lens Implatation After Capsular Tear During Phacoemulsification.ophthalmic Surgery ,Lasers &Imaging. May/June , 2004, VOL 35,219-224.
  • 2Cruz OA.Visual results and complications of phacoemulsification with intraocular lens implatation performed by ophthalmology residents. Ophthalmol, 1992; 99:448-452.
  • 3Ionides A.Visual outcome following posterior capsule rupture during cataract surgery.Br J Ophthalmol, 2001 ; 85:222-224.
  • 4A.YIMAZ.Postreior chamber lens implantation techniques in posteriorcapsularruptureEuropeanjournalofOphthanlolgy, 2004,14 : 7-13.
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  • 6Frank G.Ah-Fat, FRCOphth.Vitreous loss during conversion form conventional extracapsular cataract extraction to phacoemulsification.J Cataract Refract Surg, 1998,24 : 40-46.
  • 7Noemi Lois, MD.PHD, and David Wong, MRCP,FRCS,FRCOphth-Pseudophakic Retinal Detachment.Survey of ophthalmolog volume 48.number 5 September-October, 2003,48 : 5.

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