白内障手术晶状体后囊破裂的临床分析

Clinical Analysis of Lens Posterior Capsule Rupture in Cataract Surgery

目的分析白内障手术晶状体后囊破裂的原因,并探讨相应临床处理措施。方法选取2016年1月—2017年2月在我院行白内障晶状体超声乳化手术患者307例(307眼),术中发生晶状体后囊破裂者48例(48眼)作为研究对象,分析其原因并总结相应临床处理措施。结果 307眼发生晶状体后囊破裂者48眼,发生率为15.64%;主要发生于超声乳化过程,另还有发生于吸皮质过程和植入人工晶状体过程;术后3个月矫正视力超0.3者44眼(91.67%),超0.5者42眼(87.50%)。结论白内障手术晶状体后囊破裂可出现于术中各步骤,术中及早发现并给予正确处理措施,可取得良好临床疗效。

Objective To explore the causes and clinical treatment measures of the lens posterior capsule rupture in cataract surgery. Methods 48 eyes of lens posterior capsule rupture patients clinical information were reviewed in the total of 307 cases （307 eyes） from January 2016 to February 2017, analyzed the causes and summarize the corresponding clinical treatment measures. Results 307 eyes occurred in the lens after the rupture of 48 eyes, the incidence was 15.64%, postoperative 3 months corrected visual acuity of over 0.3 in 44 eyes （91.67%）, more than 0.5 in 42 cases （87.50%）. Conclusion The posterior capsular rupture of cataract can occur in every step of the operation. Early treatment and proper treatment can be used to achieve good clinical results.