| 古学军 卢恒松 黄旭.白内障术后囊袋阻滞综合征临床分析*[J].实用中西医结合临床,2012,(2):74-76 |
| 白内障术后囊袋阻滞综合征临床分析* |
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| DOI： |
| 中文关键词: 囊袋阻滞综合征 白内障超声乳化 连续环形撕囊 人工晶状体 Pentacam |
| 英文关键词: Capsular block syndrome Phacoemulsification Continuous circular capsulorhexis Intraocular lens Pentacam |
| 基金项目:南昌市科技支撑计划项目（洪科发计字[2010]194号）项目编号47 |
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| 中文摘要: |
| 目的：探讨白内障术后囊袋阻滞综合征(capsular block syndrome，CBS)的临床病因。方法：采用前瞻性分析法，观察我院2010年7月~2011年9月施行白内障超声乳化联合人工晶体植入术的患者。A组为小撕囊口组，241例（250眼），前囊连续环形撕囊口直径4.0~5.0 mm。B组为常规撕囊口组，311例（326眼），前囊连续环形撕囊口直径5.5~6.0 mm。结果：B组未发生术后CBS病例，A组共发生17例（17眼）术后CBS，11例诊断为术后早期CBS，6例为术后晚期CBS，17例均植入了折叠型软性人工晶体。结论：前囊撕囊口直径过小是发生术后CBS的主要原因，术中黏弹剂残留和植入软性人工晶体是术后CBS的另两个易发因素。 |
| 英文摘要: |
| Objective:To explore the clinical causes of postoperative capsular block syndrome(CBS) after phacoemulsification and intraocular lens implantation.Methods:This prospective, comparatives cases of phacoemulsification and intraocular lens: the capsulorhexis diameter of the anterior capsule 4.0~5.0 mm(A group) was performed in 241 cases (250 eyes) , the capsulorhexis diameter of the anterior capsule 5.5~6.0mm (B group) was performed in 311 cases (326 eyes).Results:There was 11 patients (11 eyes) with early postoperative CBS and 6 patients (6 eyes) with late postoperative CBS in A group,all above 17 patients implanation soft intraocular lens.Conclusions:The major risks of CBS include anterior capsular foramen diameter is smaller than that of intraocular lens optical surface. Viscoelastic material retained in the capsular bag and implanation soft intraocular lens were the two risk factors for postoperative CBS. |
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