白内障超声乳化术后囊袋皱缩综合征病因分析

发布时间：2018-06-03 21:31

  本文选题：白内障 + 超声乳化　； 参考：《眼科新进展》2016年09期

【摘要】：目的探讨白内障超声乳化术后囊袋皱缩综合征的影响因素和危险因素、临床表现,为减少白内障术后囊袋皱缩综合征提供可靠有效的预防方法。方法回顾性分析2014年10月至2015年6月在我院收治的行白内障超声乳化联合人工晶状体植入术的白内障患者1028例(1242眼),术后1周、1个月、3个月、6个月、12个月复诊,观察患者视力、前囊口形态及直径、IOL位置及形态。结果 1242眼中19眼发生囊袋皱缩综合征,发生率1.53%。19眼中发生时间在术后3个月内者15眼(78.95%),术中未行前囊膜抛光16眼(84.21%),撕囊口直径过小(≤5 mm)16眼(84.21%),植入亲水性丙烯酸酯人工晶状体15眼(78.95%),合并全身或眼部疾病10眼(52.63%),术后炎症反应重8眼(42.11%)。囊袋皱缩综合征可引起视力下降、远视漂移。结论白内障术中撕囊口直径过小、前囊膜下晶状体上皮细胞残留是术后发生囊袋皱缩综合征的重要因素。人工晶状体的选择、合并全身或眼部疾病、术后炎症反应均是发生囊袋皱缩综合征的影响因素。术中大小适宜的环形撕囊、前囊膜下环周晶状体上皮细胞清除抛光可有效预防囊袋皱缩综合征的发生。
[Abstract]:Objective to investigate the influencing factors and risk factors and clinical manifestations of capsular pouch syndrome after phacoemulsification in order to provide a reliable and effective method for the prevention of capsular pouch wrinkle syndrome after cataract phacoemulsification. Methods from October 2014 to June 2015, 1028 patients with cataract underwent phacoemulsification combined with intraocular lens implantation in our hospital were retrospectively analyzed. 1 week, 1 month, 3 months, 6 months and 12 months after operation, the visual acuity was observed. The shape and diameter of anterior capsule orifice and the position and shape of IOL. Results in 1242 eyes, 19 eyes developed pouch wrinkle syndrome. The incidence rate of 1.53.19 eyes occurred within 3 months after operation in 15 eyes (78.95 eyes), without anterior capsule polishing in 16 eyes (84.21 eyes), the diameter of capsulorhexis was too small (鈮，

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