早期Nd:YAG激光后囊切开预防青壮年白内障术后后囊混浊

Nd:YAG laser capsulotomy in advance to prevent posterior capsular opacification in youth

目的:寻找预防青壮年白内障术后后囊混浊的简单方法。方法:在行白内障超声乳化吸出联合人工晶状体植入后1mo行Nd:YAG激光后囊切开。结果:观察组21眼经3a随访,3眼出现后囊混浊。对照组20眼,3a时12眼发生后囊混浊,与观察组比较,Z=-3.04,P=0.002,两组差异有统计学意义。结论:Nd:YAG激光预防性后囊切开,可有效地防止青壮年白内障术后后囊混浊的发生。

AIM： To explore a simple method to prevent posterior capsular opacification（PCO） after phacoemulsification in youth.METHODS：Phacoemulsification combined with intraocular lens（IOL） implantation was performed 1 months earlier than Nd：YAG laser posterior capsulotomy. RESULTS： In the observation group of 21 eyes, there was no PCO in 18 eyes after 3 years. In the control group of 20, PCO occurred in 12 eyes after 3 years. In comparison to the control group and observation group after 3 years, Z=-3.04, P=0.002, the difference between the two groups was statistically significant.CONCLUSION：Nd：YAG laser posterior capsulotomy can effectively prevent PCO after phacoemulsification in youth.