白内障超声乳化术中后囊破裂的临床分析

Clinical analysis of rupture of posterior capsule in phacoemulsification.

目的 分析和讨论白内障超声乳化术中后囊破裂的原因及处理。方法 对老年性、并发性、先天性和外伤性白内障780眼进行了超声乳化并人工晶状体植入术 ,术后随访 3～ 15月。结果 术中后囊破裂 2 4眼 (3 0 8% )。经分析发现 ,后囊破裂的发生与晶状体核的硬度、眼压的控制、成功的连续环形撕囊、超声乳化技巧等有密切关系。

To analyze the causes and management of rupture of posterior capsule during phacoemulsification.Methods Phacoemulsification and IOL were performed in 780 eyes with senile,complicated,congenital and traumatic cataract.The patients were followed up for 3～15 months.Results There were 24 eyes (3.08%) with rupture of posterior capsule.Occurrence of rupture of posterior capsule is related to hardness of cataract,control of intraocular pressure,successful continuous curiviliner capsulorhexis,Skill in phacoemulsification.Conclusion Early identification and correct management of rupture of posterior capsule are important for postoperative effect.