张力线法后囊膜切开术治疗晶状体后囊膜混浊
|
摘要
目的探讨张力线后囊膜切开术治疗晶状体后囊膜混浊的临床价值。方法选择我院人工晶状体植入术后晶状体后囊膜浑浊需手术治疗者70例。观察组35例(42眼)采用张力线法后囊膜切开术,对照组35例(40眼)采用十字切开法后囊膜切开术。结果观察组手术时间短于对照组,单次最小切开能量及总能量小于对照组,点数少于对照组(P<0.05)。术后7 d,观察组黑影发生率为7.14%,低于对照组27.50%(P<0.05)。术后1个月,观察组无黑影症状患者(0/40),对照组黑影发生率为7.50%(3/40)(P>0.05)。结论张力线法可缩短手术时间和减少激光用量,术后短时间内黑影症状少。
Objective To explore the clinical value of tension line posterior capsulotomy for intraocular lens posterior capsular opacification. Methods 70 patients with posterior capsular opacification after intraocular lens implantation were selected. In the observation group, 35 cases(42 eyes) were treated with tension line posterior capsulotomy, and 35 cases in thecontrol group(40 eyes) were treated with cross incision. Results The operation time in the observation group was shorter than that in the control group. The single incision energy and total energy were less than those in the control group, and the number of points was less than that in the control group(P < 0.05). 7 d after operation, the incidence of dark shadows in the observation group was 7.14%, which was lower than that in the control group of 27.50%(P < 0.05). 1 month after operation, there was no black shadow in the observation group(0/40). The incidence of dark shadows in the control group was 7.50%(3/40)(P > 0.05). Conclusion Tension line method can shorten operation time and reduce laser dosage, and there is less black shadow after a short time.
Objective To explore the clinical value of tension line posterior capsulotomy for intraocular lens posterior capsular opacification. Methods 70 patients with posterior capsular opacification after intraocular lens implantation were selected. In the observation group, 35 cases(42 eyes) were treated with tension line posterior capsulotomy, and 35 cases in thecontrol group(40 eyes) were treated with cross incision. Results The operation time in the observation group was shorter than that in the control group. The single incision energy and total energy were less than those in the control group, and the number of points was less than that in the control group(P < 0.05). 7 d after operation, the incidence of dark shadows in the observation group was 7.14%, which was lower than that in the control group of 27.50%(P < 0.05). 1 month after operation, there was no black shadow in the observation group(0/40). The incidence of dark shadows in the control group was 7.50%(3/40)(P > 0.05). Conclusion Tension line method can shorten operation time and reduce laser dosage, and there is less black shadow after a short time.
引文
[1]马立威,张小霞,周文凯,等.波前像差对术后晶状体后囊膜混浊诊治的临床意义[J].中国医科大学学报,2016,45(10):891-894.
[2]王燕,欧扬,袁远,等.后发性白内障Nd∶YAG激光后囊膜切开术后屈光状态及眼生物学参数的变化[J].眼科新进展,2015,35(6):569-572.
[3]陈拥军,姬亚洲,毋艳君,等.Nd:YAG激光治疗对早期晶状体囊袋阻滞综合征的疗效[J].国际眼科杂志,2016,17(6):1165-1167.
[4]潘昕,张大光,陈哲慧.Nd:YAG激光治疗后发性白内障102例的临床观察[J].中国老年学杂志,2017,37(18):4621-4622.
[5]王静,王涵,马立威,等.Len Sx飞秒激光辅助白内障手术安全性和有效性的临床研究[J].国际眼科杂志,2016,17(10):1858-1861.
[6]何吕福,佘相均,赵士鑫,等.后发性白内障患者行后囊膜切开术后视觉相关生活质量的评价[J].中华实验眼科杂志,2014,32(4):346-349.
[7]刘圆媛,路承喆,汤欣.前节OCT在观察后发性白内障方面的应用价值[J].中国实用眼科杂志,2017,35(3):247-251.
[8]张斌,马健利.后发性白内障行Nd:YAG激光后囊膜切开术后视觉质量改变[J].国际眼科杂志,2016,17(11):2071-2074.
[9]李颖,胡艳红.Nd:YAG激光治疗后发性白内障的并发症研究进展[J].中国医药导报,2016,37(24):51-53.
[10]赵泽林,谭美迪,黄胜海,等.前节OCT三维重建对Nd∶YAG激光后囊膜切开术后IOL稳定性的评估[J].中华眼视光学与视觉科学杂志,2016,18(6):358-362.
[11]黄礼彬,谢茂松,崔丽金,等.Nd:YAG激光后囊膜切开孔径大小对屈光度、眼压和黄斑厚度的影响[J].临床眼科杂志,2016,24(6):520-523.
[12]郑丽娅,陈峰,郑景伟,等.改良式后囊膜切开术治疗人工晶状体眼晶状体后囊膜混浊[J].中华眼视光学与视觉科学杂志,2017,19(12):711-719.
[2]王燕,欧扬,袁远,等.后发性白内障Nd∶YAG激光后囊膜切开术后屈光状态及眼生物学参数的变化[J].眼科新进展,2015,35(6):569-572.
[3]陈拥军,姬亚洲,毋艳君,等.Nd:YAG激光治疗对早期晶状体囊袋阻滞综合征的疗效[J].国际眼科杂志,2016,17(6):1165-1167.
[4]潘昕,张大光,陈哲慧.Nd:YAG激光治疗后发性白内障102例的临床观察[J].中国老年学杂志,2017,37(18):4621-4622.
[5]王静,王涵,马立威,等.Len Sx飞秒激光辅助白内障手术安全性和有效性的临床研究[J].国际眼科杂志,2016,17(10):1858-1861.
[6]何吕福,佘相均,赵士鑫,等.后发性白内障患者行后囊膜切开术后视觉相关生活质量的评价[J].中华实验眼科杂志,2014,32(4):346-349.
[7]刘圆媛,路承喆,汤欣.前节OCT在观察后发性白内障方面的应用价值[J].中国实用眼科杂志,2017,35(3):247-251.
[8]张斌,马健利.后发性白内障行Nd:YAG激光后囊膜切开术后视觉质量改变[J].国际眼科杂志,2016,17(11):2071-2074.
[9]李颖,胡艳红.Nd:YAG激光治疗后发性白内障的并发症研究进展[J].中国医药导报,2016,37(24):51-53.
[10]赵泽林,谭美迪,黄胜海,等.前节OCT三维重建对Nd∶YAG激光后囊膜切开术后IOL稳定性的评估[J].中华眼视光学与视觉科学杂志,2016,18(6):358-362.
[11]黄礼彬,谢茂松,崔丽金,等.Nd:YAG激光后囊膜切开孔径大小对屈光度、眼压和黄斑厚度的影响[J].临床眼科杂志,2016,24(6):520-523.
[12]郑丽娅,陈峰,郑景伟,等.改良式后囊膜切开术治疗人工晶状体眼晶状体后囊膜混浊[J].中华眼视光学与视觉科学杂志,2017,19(12):711-719.