连续环形撕囊术后临床观察

Clinic abservation after continuous circular capsulorhexis.

目的 观察连续环形撕囊人工晶状体植入术后前房角和眼前段改变。方法 术后超过 3月的 15 2眼行前房角镜、眼压、散瞳前后裂隙灯等检查。随访时间平均 18 2月。结果 所有的人工晶状体襻都位于囊袋内。无 1眼发生晶状体襻性周边虹膜前粘连。手术前后眼压 ,前房角宽度和色素与非术眼比较无显著性差异。后囊浑浊 72眼占 47% ,需行激光治疗 10眼。结论 连续环形撕囊术是迄今为止将人工晶状体固定于囊袋内最稳定可靠的方法。

Objective To observe the changes of anterior chamber angle and anterior segment after continuous circular capsulorhexis(CCC) and intraocular lens (IOL) implantations.Methods 136 cases (152 eyes )with CCC and IOL were examined by gonioscopy 3 months postoperatively.The mean follow-up time were 18.2 months.Results The lens haptics were all within capsular bag in 152 eyes,no one had lens haptic peripheral anterior synechia.There were not significant differance in IOP,the widen and pigments of angle before and after operation compared with nonoperation eyes.72/152 eyes(47%) had become opaque in the central portion of the capsule ,in which 10 eyes should be treated with YAG.Conclusion CCC was the most steady and safety method for setting the IOL in the capsular bag untill now.