超广角眼底照相在白内障术中后囊破裂者术后门诊复查中的应用

Application of ultra-wide-field retinal imaging in the review of postoperative outpatients with posterior capsule rupture during cataract surgery

目的观察免散瞳超广角眼底照相系统在白内障术中后囊破裂患者术后在门诊复查中的应用。方法回顾性分析2016年1月至2018年10月晶状体超声乳化术中后囊破裂者96例(96眼)的临床资料。所有患者于术后2周门诊复查,以三种不同方法(免散瞳超广角眼底照相、散瞳后裂隙灯显微镜联合90D前置镜检查、散瞳后裂隙灯显微镜联合三面镜检查)进行眼底检查。结果三种检查方法分别发现周边视网膜裂孔和格子样变性15眼(15.6%),12眼(12.5%),16眼(16.6%)。三种检查检查结果比较,差异无统计学意义(P>0.05)。结论免散瞳超广角眼底照相是白内障术中后囊破裂的患者门诊复查中筛查视网膜周边裂孔的便捷的方法。

Objective To observe the application of the non-mydriatic ultra-wide-field retinal imaging in the review of postoperative outpatients with posterior capsule rupture during cataract surgery. Methods The data of 96 cases of 96 cases with posterior capsule rupture during phacoemulsification from Jan.2016 to Oct.2018 were analyzed restrospectively.The fundus examination of all cases at 2 weeks after surgery were performed with three methods.Three methods were non-mydriatic ultra-wide field retinal imaging system, dilated slit lamp 90 D pre-mirror examination and dilated posterior three-mirror examination, respectively. Results The peripheral retinal tear and lattice retinal degeneration were inspected with three methods in 15 eyes (15.6%), 12 eyes (12.5%) and 16 eyes (16.6%) respectively.The difference was statistically significant among the three groups(P>0.05). Conclusion The non-mydriatic ultra-wide-field retinal imaging is a convenient method in the review of postoperative outpatients with posterior capsule rupture during phacoemulsification.