假性剥脱综合征性白内障手术

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手术治疗白内障的主要方法是超声乳化术 (PHACO)。假性剥脱综合征 (PEX) 的存在会使手术操作困难,还是引起很多术中和术后并发症的原因。目的 评估 PEX 对 PHACO 过程的影响。材料和方法 总共 1010 例患者因需行白内障手术治疗收治入院(580 例有 PEX 和 430 例无 PEX)并接受了 PHACO 及不同类型人工晶体的植入。

对 PHACO 的主要参数进行了分析: 累积释放能量, 平衡盐溶液 (BSS) 的抽吸量及手术时长。另外还对一些术中可能出现的并发症发生率进行了评估: 角膜后弹力层脱离（descemet membrane detachment，DMD), 后囊膜破裂,

晶状体基质位于晶状体后间隙和晶状体脱位。结果 在 PEX 患者中局部的 DMD 较为常见,其次是晶状体基质位于晶状体后间隙也较常见。因此,在这种情况下,白内障超声乳化术中累积释放能量也更高。结论 在计划 PHACO 手术时 PEX 患者需要更仔细的术前检查, 术中更高的警觉性以及术后更长的观察期。

作者简介

Vitaly Potyomkin

Academican I.P. Pavlov First St. Petersburg State Medical University; City Ophthalmologic Center of City Hospital No. 2

Email: potem@inbox.ru

PhD, Assistant Professor, Department of Ophthalmology; Ophthalmologist

俄罗斯联邦, Saint Petersburg

Elena Goltsman

City Ophthalmologic Center of City Hospital No. 2

编辑信件的主要联系方式.
Email: ageeva_elena@inbox.ru

ophthalmologist

俄罗斯联邦, Saint Petersburg

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