·临床研究·白内障超声乳化术的并发症及处理朱俊东,谢丽莲,陈文芳作者单位:(423000)中国湖南省郴州市第一人民医院眼科作者简介:朱俊东,毕业于中南大学湘雅医学院,学士,副主任医师,眼科项目主任,研究方向:白内障及青光眼诊疗。通讯作者:朱俊东.zhujundong73@sina.com收稿日期:2012-07-16修回日期:2012-12-26Clinicalanalysisoncomplicationsofphaco-emulsificationJun-DongZhu,Li-LianXie,Wen-FangChenDepartmentofOphthalmology,theFirstPeople'sHospital,Chenzhou423000,HunanProvince,ChinaCorrespondenceto:Jun-DongZhu.DepartmentofOphthalmology,theFirstPeople'sHospital,Chenzhou423000,HunanProvince,China.zhujundong73@sina.comReceived:2012-07-16Accepted:2012-12-26AbstractAIM:Toanalyzetheclinicalcurativeeffectandoperationcomplicationsintheprocessofextracapsularextractionofcataractbyphacoemulsification.METHODS:Totally4350casesofcataractweretreatedbyscleratunnelincisionphacoemulsificationcataractextraction,andthereasonoftheoperationcomplicationswasanalyzed.Thepatientswerefollowed-upfor3-24months.RESULTS:Phacoemulsificationwasperformedsuccessfullyon4345eyes(99.89%),and5eyeswerechangedtoextracapsularcataractextractioncombinedwithintraocularlens(ECCE+IOL)implantation.10eyes(0.23%)attainedcorrectedvisionunder0.1;290eyes(6.67%)attainedcorrectedvisionof0.1to0.4;4050eyes(93.10%)attainedcorrectedvisionof0.5orbetter3monthsafteroperation.Duringtheoperationstherewerecapsularrupturein26eyes(0.60%),defeatedcapsulorhexisin16eyes(0.37%),cornealendothelialedema350eyes(8.05%),posteriorcapsularopacification116eyes(2.67%),intraocularhypertension31eyes,entophthalmiain3eyes.CONCLUSION:Theextractionofcataractbyphacoemulsificationandembeddingofartificialcrystalmayhavelesstissuedamage,andvisionrecoversquickly.Thoughitisaneffectivemethod,understandingthereasonsforoperationcomplicationandreducingtheoperationcomplicationcanensurethesuccessofoperation.KEYWORDS:cataract;phacoemulsitication;operativecomplications;intraocularlensCitation:ZhuJD,XieLL,ChenWF.Clinicalanalysisoncomplicationsofphacoemulsification.GuojiYankeZazhi(IntEyeSci)2013;13(1):88-91摘要目的:探讨白内障超声乳化人工晶状体植入术的并发症及处理措施。方法:对4350眼老年性、并发性和外伤性白内障患者进行巩膜隧道切口超声乳化联合人工晶状体植入术,总结分析术中及术后手术并发症发生情况及处理措施。术后随访3~24mo。结果:顺利完成超声乳化术4345眼(99.89%),5眼术中改为ECCE+IOL术。术后3mo时,矫正视力≥0.5者4050眼(93.10%),0.1~0.4者290眼(6.67%),<0.1者10眼(0.23%)。术中并发症:后囊膜破裂26眼(0.60%),撕囊失败16眼(0.37%)。术后并发症:角膜水肿350眼(8.05%),晶状体后囊膜混浊116眼(2.67%),一过性高眼压31眼,眼内炎3眼。术中、术后并发症,经对症处理后有不同程度改善。结论:白内障超声乳化人工晶状体植入术具有创伤小、恢复快、术后视力满意等优点,但是了解手术并发症原因,减少和避免并发症的发生以及采取措施正确处理并发症是手术成功的保障。术中并发症主要是后囊膜破裂,术后并发症主要是角膜水肿和后发性白内障。并发症的发生与术者的经验、技术熟练程度密切相关。关键词:白内障;超声乳化;手术并发症;人工晶状体DOI:10.3980/j.issn.1672-5123.2013.01.22引用:朱俊东,谢丽莲,陈文芳.白内障超声乳化术的并发症及处理.国际眼科杂志2013;13(1):88-910引言随着社会的发展,人口老龄化日益严重,白内障的发病率亦相应提高。白内障已经成为主要的致盲眼病之一,手术是解决白内障的唯一最有效、最彻底的方法。随着科技的进步,白内障的手术方法也得到了不断提高和发展。白内...