| 摘要: |
| ［摘要］ 目的 分析白内障超声乳化术中后囊膜破裂的原因，提出预防措施。方法 对216例（278眼）超声乳化手术中，发生后囊膜破裂32例（32眼）（11.5%）进行原因分析。结果 后囊破裂原因有撕囊不当3例（9.4%），水分离不当2例（6.3%），超声乳化晶状体核块21例（65.6%），与抽吸晶状体皮质有关5例(15.6%)，植入人工晶状体不慎1例（3.1%）。结论 手术中对不同级的核采取相应的对策,熟练控制能量、负压维持前房有效空间及提高劈核乳化技巧可有效预防后囊破裂。 |
| 关键词: 白内障 超声乳化 后囊破裂 |
| DOI：10.3969/j.issn.1674-3806.2010.12.23 |
| 分类号:R 779.66 |
| 基金项目: |
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| Posterior capsule rupture during cataract phacoemulsification: Analysis of 32 cases |
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LI Yan, HUANG Jing-he, YE Shu, et al.
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Guigang City People′s Hospital, Guangxi 537100,China
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| Abstract: |
| ［Abstract］ Objective To analyze the causes of posterior capsule rupture during cataract phacoemulsification and put forward the prevention measures. Methods In 216 cataract patients (278 eyes) treated by phacoemulsification the causes of posterior capsule rupture during opeation were analyzed in 32 patients(32 eyes) (11.5%). Results The causes of posterior capsule rupture included improper capsulorhexis (3 patients accounted for 9.4%), inappropriate water separating (2 patients, 6.3%), cataract nuclear block (21 patients, 65.6%), factors related to lens cortex aspiration (5 patients, 15.6%), inadrertent intraocular lens implantation(1 patient, 3.1%). Conclusion Taking appropriate countermeasures according to different levels of nuclei, skillfully controlling energy, maintaining the effective space of anterir charnber by negatire pressure and improving the split neucleus emulsion skills can be effectivly prevent posterior capsule rupture. |
| Key words: Cataract Phacoemulsification Posterior capsule rupture |
