白内障超声乳化术的后囊破裂探讨

Analysis of posterior capsule rupture in phacoemulsification.

目的 探讨白内障超声乳化人工晶状体植入术中后囊破裂的原因和防治方法。方法 114例 (12 4眼 )超声乳化手术后囊破裂 16眼 (12 90 % ) ;合并玻璃体脱出 14眼 (11 2 9% )。对其原因进行分析。结果 后囊破裂与撕囊有关 2眼 (12 5 0 % ) ,与超声乳化有关 11眼 (6 8 75 % ) ,与抽吸皮质有关 3眼(18 75 % )。

Objective To analysis the cases and treatment of posterior capsule rupture in phacoemulsification and intraocular lens implantation.Methods Phacoemulsification and IOL implantation were performed on 124 eyes of 114 patients.In this series,posterior capsule rupture occurred on 16 eyes(12.90%) and vitreous loss occurred on 14 eyes(11.29%).The causes of them were analysed.Results The posterior capsule rupture occurred with capsulotomy on 2 eyes(12.50%), occurred during phacoemulsification on 11 eyes(68.75%),occurred in the course of aspiration of the cortex on 3 eyes(18.75%) Conclusion Intraoperatively,the prevention of posterior capsule rupture and improvement of management ability are very important.