山东大学耳鼻喉眼学报 ›› 2023, Vol. 37 ›› Issue (1): 110-114.doi: 10.6040/j.issn.1673-3770.0.2021.568
• 论著 • 上一篇
董曙光1,2,郭凤飞3,孟旭霞1,颜世龙2
DONG Shuguang1,2, GUO Fengfei3, MENG Xuxia1, YAN Shilong2
摘要: 目的 回顾性研究分析飞秒激光辅助白内障超声乳化手术患者前囊膜撕裂的原因。 方法 统计在济南爱尔眼科医院眼科选择飞秒激光辅助白内障超声乳化手术的患者86例(105眼)。所有患者均使用飞秒激光辅助设计完成前囊膜圆形截囊,晶状体预劈核,而后继续完成白内障超声乳化吸除联合人工晶体植入手术,所有患者的手术均是同一名熟练手术医生完成,记录前囊撕裂的患者。 结果 105眼中发生前囊膜发生撕裂的患者共6眼(5.71%),其中3眼(2.86%)膨胀期白内障患者在飞秒激光前囊膜切开时前囊膜撕裂,2眼(1.90%)白色白内障(晶状体全白的)患者在取出前囊膜时撕裂,1眼(0.95%)Ⅳ级核白内障患者在超声乳化手术过程中前囊膜撕裂。 结论 飞秒激光辅助白内障超声乳化手术在激光发射时或者超乳手术过程中都有可能发生前囊膜撕裂,尤其是白色白内障、膨胀期白内障等患者,通过挑选合适患者,精准规范的手术操作,可最大程度避免出现前囊膜撕裂的并发症,发挥飞秒激光手术的优势。
中图分类号:
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