前段玻璃体切除在超声乳化白内障手术中的应用和体会

Application and experience of anterior vitrectomy in phacoemulsification

目的:观察及探讨超声乳化白内障术中后囊膜破裂或晶状体悬韧带离断致玻璃体脱出使用前段玻璃体切除术的疗效及并发症。方法:回顾性分析28例35眼白内障患者在超声乳化人工晶状体植入术中出现后囊膜破裂或晶状体悬韧带离断致玻璃体脱出时采用前段玻璃体切除术的处理过程,观察术后视力及并发症,总结经验体会。结果:通过前段玻璃体切除术,及时、准确处理超声乳化白内障手术中后囊膜破裂或悬韧带离断致玻璃体脱出,效果较为满意。结论:前段玻璃体切除术对超声乳化白内障手术中后囊膜破裂或悬韧带离断致玻璃体脱出疗效好,并无严重并发症的发生,是一种行之有效的手术方式。

AIM：To observe and discuss the clinical application and effect of anterior vitrectomy in phacoemulsification for the treatment of vitreous prolapse caused by posterior capsular rupture or suspensory ligament transection.METHODS：Retrospective analysis of 28 cases（35 eyes）with cataract in whom vitreous prolapse caused by posterior capsular rupture or suspensory ligament transection occurred in phacoemulsification and intraocular lens implantation and anterior vitrectomy were performed was conducted.RESULTS：Anterior vitrectomy for timely and accurate treatment for vitreous prolapse caused by posterior capsular rupture or suspensory ligament transection occurred in phacoemulsification was satisfied.CONCLUSION：Anterior vitrectomy has good curative effect for vitreous prolapse caused by posterior capsular rupture or suspensory ligament transection occurred in phacoemulsification and is effective with less severe complications.