白内障超声乳化术中前囊膜抛光预防患者后囊膜混浊的运用价值评估

Evaluation of the Value of Using Anterior Capsule Membrane Polishing to Prevent Posterior Capsule Membrane Clouding in Patients Undergoing Cataract Ultrasound Emulsification

目的分析应用前囊膜抛光对白内障超声乳化术后后囊膜混浊进行预防的作用。方法随机选取2021年1月—2023年8月漳州市第三医院收治的190例白内障超声乳化术患者为研究对象,按照术中有无实施前囊膜抛光治疗将患者分为两组,研究组100例患者(100眼)术中进行前囊膜抛光治疗,对照组90例患者(90眼)经过常规后囊膜抛光处理后,将人工晶状体置入,并没有进行前囊膜抛光处理。比较两组对视力分布情况、后囊膜混浊发生情况。结果术后,研究组的视力分布情况均明显优于对照组,差异有统计学意义(P均<0.05)。术后6、12个月,研究组后囊膜混浊发生率分别为10.0%、15.0%,对照组分别为22.22%、27.78%,两组比较,差异有统计学意义(χ^(2)=5.322、4.653,P均<0.05)。结论白内障患者在接受白内障超声乳化术治疗时,术后开展前囊膜抛光治疗不但显著改善患者视力,而且能有效预防术后囊膜混浊。

Objective To analyze the role of applying anterior capsule membrane polishing to prevent posterior cap⁃sule membrane clouding after cataract ultrasound emulsification.Methods 190 cataract ultrasound emulsification pa⁃tients admitted to Zhangzhou Third Hospital from January 2021 to August 2023 were randomly selected as the study objects,and all patients were divided into two groups according to whether or not they were treated with anterior cap⁃sule membrane polishing during the operation.100 patients in the study group(100 eyes)were treated with anterior capsule membrane polishing intraoperatively,and 90 patients in the control group(90 eyes)were treated with conven⁃tional posterior capsule membrane polishing,the IOLs were inserted,and there was no anterior capsule membrane pol⁃ishing.The distribution of visual acuity and the occurrence of posterior capsular cloudiness were compared between the two groups.Results The visual acuity distribution of the study group was significantly better than that of the con⁃trol group in all cases after surgery,and the differences were statistically significant(all P<0.05).At 6 and 12 months after surgery,the incidence of posterior capsule membrane clouding was 10.0%and 15.0%in the study group,and 22.22%and 27.78%in the control group,respectively,and there were statistically significant differences in the com⁃parison between the two groups(χ^(2)=5.322,4.653,both P<0.05).Conclusion When cataract patients receive cataract ultrasound emulsification treatment,postoperative anterior capsule membrane polishing treatment can not only signifi⁃cantly improve the patient's visual acuity,but also effectively prevent postoperative posterior capsule membrane cloud⁃ing.