连续环形撕囊失败后白内障超声乳化IOL植入术分析

Analysis of intraocular lens implantation without a successful continuous circular capsulorhexis in phacoemulsification surgery

目的:分析连续环形撕囊失败后超声乳化人工晶状体(IOL)植入的可行性,探讨其后手术步骤的注意点及并发症的处理。方法:对56眼连续环形撕囊失败后行白内障超声乳化IOL植入术患者进行分析。结果:本组56眼均完成超声乳化IOL植入术,术中出现后囊膜破裂4眼,均植入IOL。结论:连续环形撕囊失败后对撕裂处囊膜及时补救,对随后手术步骤认真分析、谨慎处理,仍可顺利完成超声乳化IOL植入术。

AIM： To analyze the feasibility of intraocular lens（IOL） implantation without a successful continuous circular capsulorhexis in phacoemulsification surgery, and to discuss the key points of each step, as well as the complications.METHODS： IOL implantations after the failure of continuous circular capsulorhexis in 56 eyes were analyzed. RESULTS：Phacoemulsification and IOL implantation were performed in all 56 eyes of the group, with intraoperative posterior capsular rupture in 4 eyes and IOL implantation in all eyes.CONCLUSION： Timely remediation of the torn capsule membrane with serious analysis and cautious treatment of the following operation steps can still make phacoemulsification surgery finished smoothly.