晶状体囊袋张力环植入对高度近视白内障手术效果的对比观察VIP专享VIP免费

·908·中旦塞脚艮科杂志理坚墨月第28驽簏8岁j_j：h|nJPratt—Op—htha⋯lmol,A～ugust—20—10,⋯Vol28，N—o—．8晶状体囊袋张力环植入对高度近视白内障手术效果的对比观察彭华琮袁媛·论著：经验体会·【摘要】目的评价晶状体囊袋张力环(CTR)在高度近视白内障人工品状体手术中的应用价值。方法将827例(1081只眼)高度近视白内障患者随机分为A、B两组，A组427例(549只眼)．B组400例(532只眼)，其中A组患者行超声乳化白内障吸出术及后房型人工晶状体和CTR植入，B组患者仅行超声乳化白内障吸出术及后房型人工晶状体植入。结果A组术后一过性高眼压179只眼，其中1例取出CTR；随访18个月中有2例2只眼发生视网膜脱离，5例5只眼闪发生后发障而行激光治疗。B组术后随访18个月中有9例9只眼发生视网膜脱离、35例35只眼因发生后发障而行激光治疗。两组的视网膜脱离发生率及后发障发生率比较差异均有统计学意义。结论晶状体囊袋张力环在高度近视白内障手术中的应用能防止晶状体悬韧带离断，使人工晶体居中，并进而能有效防止后发障和视网膜脱离的发生【关键词】囊袋张力环，高度近视，视网膜脱离，后发障TheclinicalobservationofeffectsofcapsulartensionringOnretina]detachmentandPCOformationinhyperopiapatientsPENGHua-cong,YUANYuan．W曲锄EyegoodOphthalmicHospital,Wuhan430019．China[Abstract]ObjectiveToobservetheeffectsofcapsulartensionringonretinaldetachmentandposte．riorcapsularopacity(PCO)formationinhyperopiapatientsreceivedphacoemulsificationandIOLinsertion．MethodsOnethousandandeighty-seveneyesof827hyperopiapatientswithcataractweredividedintotwogroup，groupA，549eyesof427patientwererandomlyselectedforphacoemulsificationandIOLinsertionandcapsulartensionringinsertion；groupB，532eyesof400patientwasassignedtoaphacoemulsificationandIOLinsertion．During1-18monthsfollow-up，visualacuity，intraocularpressure(10P)andtheanteriorsegmentofeyesweremeasuredbyslitlampmicroscopeandusedtheCAASsoftwaretoanalyzetheretinaldetachmentfor-mationandusedthePCOCAASsoftwaretoanalyzethePCOformation．ResultsTheincreasedlOPwasfoundin179eyesofgroupAonlyashorttime．CTRwasremovedfromintraocularin1eyeduetoincreasedIOPbeyondcontr01．RetinaldetachmentWasfoundin2eyesat18monthspostoperatively．YAGlaserposteriorcapsulotomyin5eyesWasperformedduetoPCO．TheretinaldetachmentWasfoundin9eyesofgroupBat18monthspostoperatively．YAGlaserposteriorcapsulotomyin35eyesWasperformedduetoposteriorcapsularopacity．PCOCAASsofhvareanalysishadstatisticalsignificancebetweentwogroups．SPSSsoftwareanalysishadstatisticalsignificanceonretinaldetachmentformationpostoperativelybetweentwogroups．ConclusionTheCTRinhi【ghmyopiacataractsurgeryassociatedwithintraocularlensimplantationoperationcanpreventzonulardehiscenceandIOLdecentmfionandtilt,andmay1cadtoreduceretinaldetachmentandPCO．[Keywords]Capsulartensionring(CTR)；Retinaldetachment；PCO；Hyperopia1995年Cionni等111首先将晶状体囊袋张力环(capsulartensionring，cTR)成功的应用于临床，治疗DOI：10．3760／cma．j．issn．1006-4443，2010．08．033作者单位：430019武汉，武汉艾格眼科医院通信作者：彭华琮，Email：penghuaeong@126．COrn外伤性和先天性晶状体悬韧带断离的白内障手术。高度近视眼由于自身眼球结构的特殊性，术中和术后会引起视网膜脱离等严重并发症。我们植入CTR对高度近视白内障手术后效果作出以下对比观察，现报告如下。万方数据中国篷旦!垦型多志2Q!Q!!旦笙；哆第8塑壁塑J～Pratt～Op坠!型竺!，垒!壁st2—010：!些垫!一No生资料与方法1．资料：将2006年4月至2007年12月住院的827例(1081只眼)高度近视白内障患者随机分为A、B两组，A组427例(549只眼)，B组4()0例(532只眼)。其中A组患者行超声乳化白内障吸出术及后房型人工晶...