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瞳孔闭锁并发白内障不同术式术中及术后早期并发症的观察

Intra- and postoperative complications of different operation methods for seclusion of the pupil combined with cataract
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摘要 目的:比较不同术式治疗瞳孔闭锁并发白内障术后早期并发症的发生率,探讨各术式的优缺点。方法:5种不同术式:①虹膜拉钩应用下,超声乳化联合人工晶状体植入;②非超声乳化小切口,上方虹膜垂直切开,晶状体囊外摘除联合人工晶状体植入,瞳孔成型;③非超声乳化小切口,下方虹膜放射状切开,晶状体囊外摘除联合人工晶状体植入;④常规角膜缘切口,上方虹膜垂直切开,晶状体囊外摘除联合人工晶状体植入,瞳孔成型;⑤常规角膜缘切口,下方虹膜放射状切开,晶状体囊外摘除联合人工晶状体植入。结果:术中及术后1wk内,各种术式均有并发症发生,以术式1并发症为少。结论:5种术式中,术式1,2术后早期并发症明显小于其他术式。 AIM: To compare the incidence of intraand postoperative complications of different operation methods for seclusion of the pupil combined with cataract and to discuss their advantages and disadvantages. METHODS: Five operation methods were used: (1) phacoemulsification combined with intraocular implantation with the help of iris retractor; (2) non-phacoemulsification, small incision, vertical incision of upper iris, extracapsular cataract extraction combined with intraocular implantation; (3) non-phacoemulsification, small incision, vertical incision of lower iris, extracapsular cataract extraction combined with intraocular implantation; (4) regular limbus incision, vertical incision of upper iris, extracapsular cataract extraction combined with intraocular implantation, and then pupil moulding; (5) regular limbus incision, radial incision, extracapsular cataract extraction combined with intraocular implantation. ~ RESULTS: Complications occurred during and after operations with all the five methods, with the least in operations with the first methods. CONCLUSION: The first two methods are superior to others in the five methods.
作者 焦洁
出处 《国际眼科杂志》 CAS 2006年第3期712-713,共2页 International Eye Science
关键词 瞳孔闭锁 白内障 并发症 seclusion of the pupil cataract complications
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