Nd:YAG激光松解切开术治疗晶状体后囊膜皱褶

Nd:YAG laser release incision of posterior capsular membrane ruffles

目的:探讨Nd:YAG激光松解切开术治疗晶状体后囊膜皱褶的效果。方法:术前爱尔卡因表面麻醉下置CGP角膜接触镜,借助瞄准光,准确聚焦于皱褶上,发射Nd:YAG激光,单脉冲松解皱褶能量为0.4～1.0mJ,每次治疗总量为20～30(平均24.00±0.0625)mJ。结果:后囊膜皱褶激光松解切开术后矫正视力1.0者31眼(58%),0.6～0.8者17眼(32%),0.4～0.5者5眼(9%)。裂隙灯下观察未发生人工晶状体损伤,无玻璃体疝、黄斑囊样水肿或视网膜脱离等并发症。结论:用Nd:YAG激光松解切开术治疗晶状体后囊膜皱褶,可增进视力,疗效良好。

AIM：To discuss the effect of Nd：YAG laser release incision of posterior capsular membrane ruffles. METHODS： CGP corneal contact preparation was used after surface anesthesia by Alcaine focus on posterior capsular membrane ruffles acutely with aiming light emit Nd：YAG laser. The energy of mono pulse for cutting ruffle was 0.4-1.0mJ. The total energy was 20-30mJ （average 24.00±0.0625mJ）. RESULTS： The visual acuity correction was 1.0 in 31 eyes （58%） after the laser release incision, accounting for 0.6-08 in 17 eyes （32%）, accounting for 0.4-0.5 in 5 eyes （9%）.No complication like IOL injury, vitreous hernia, cystoid macular edema, retinal detachment occurred after the treatment. CONCLUSION： Nd：YAG laser release incision of posterior capsular membrane ruffles improve the eyesight. It’s simple, reliable safety and curative.