白内障超声乳化术后囊袋收缩综合征的临床分析

Clinical Analysis of Capsular Contraction Syndrome after Cataract Phacoemulsification

目的评价白内障超声乳化吸出术以后患者出现囊袋收缩综合征的发病原因,并且探究有效的治疗和相关预防措施。方法本研究所有研究对象均来自我院在2010年3月至2017年12月收治的经白内障超声乳化术治疗以后出现囊袋收缩综合征的患者,本研究选择病例13例作为研究对象,对患者临床的相关资料进行回顾性分析,总结患者出现囊袋收缩综合征的发病原因,并且探究相关的治疗和预防措施。结果本研究显示,患者出现囊袋收缩综合征的主要因素为撕囊直径过小,晶体前囊下存在的上皮细胞在手术过程中无法清除干净后导致炎症情况发生,也因为人工晶体材料的刺激以及血-房水屏障破坏等。本研究13例患者当中,在治疗以后2例患者存在有轻度的角膜水肿,其余患者没有前房渗出情况,患者的人工晶状体位置良好,视力大大的提升。结论囊袋收缩综合征是连续环形撕囊所特有的一种并发症情况,临床采用有效的措施对其进行预防可以有效提升和保证超声乳化术后患者视力的良好恢复。

Objective To evaluate the clinical status of band-shrinkage syndrome after phacoemulsification. Methods The cataract phacoemulsificationtreatment in our hospital from March 2010 to December 2017 was selected to study the 13 patients with energy band contraction syndrome. We summarizedthe causes of the patients and explored effective preventive measures. Result The present study shows that the main factor in the occurrence of capsularcontraction syndrome in patients is that the epithelial cells present under the anterior capsule of the lens cannot be cleared during surgery and lead toinflammation, but also due to irritation of the intraocular lens material and the blood-to-water barrier. Of the 13 patients in this study, mild postoperativecorneal edema occurred in 2 patients after treatment, and the remaining patients had no anterior chamber exudation. The patient＇s intraocular lens was in goodposition and vision was greatly improved. Conclusion The capsular contraction syndrome is a unique complication of the continuous circular capsularhexis,and the clinical use of effective measures to prevent it can effectively improve and ensure good vision recovery after phacoemulsification.