摘要
目的对比观察白色膨胀期白内障手术中囊袋减张辅助吲哚菁绿前囊膜染色的临床应用效果。方法收集2018年1月至7月于大连市第三人民医院白内障中心行白内障超声乳化摘出联合人工晶状体植入术的白色膨胀期白内障患者90例(90眼),依据手术方式不同分为2组,A组45例(45眼)采用囊袋减张撕囊法辅助吲哚菁绿前囊膜染色,B组45例(45眼)采用单纯吲哚菁绿前囊膜染色连续环形撕囊术。记录两组术后1 d、7 d、1个月、3个月的最佳矫正视力(best corrected visual acuity,BCVA)、角膜内皮细胞密度(corneal endothelial denisty,CED)差值,并统计术中术后并发症发生情况。结果术后1 d、7 d、1个月及3个月患者的BCVA和CED差值两组间相比,差异均无统计学意义(均为P>0.05)。术中,B组有12例撕囊直径未达到5.0 mm,17例撕囊不连续,8例后囊膜破裂及玻璃体溢出;A组发生上述并发症者各有1例。术后,A组1例囊袋收缩,2例后囊膜皱褶,3例BCVA远视化;B组7例囊袋收缩,8例后囊膜皱褶,10例BCVA远视化。结论白色膨胀期白内障术中采用囊袋减张辅助吲哚菁绿前囊膜染色安全、有效,并发症少。
Objective To observe the clinical application of capsular tension reduction assisted indocyanine green anterior capsule staining in operation of white intumescent cataract,and to summarize its effect on reducing operative risks and postoperative complications.Methods A retrospective controlled clinical study was conducted on 90 cases(90 eyes)with white intumescent cataract who underwent phacoemulsification combined with intraocular lens implantation in the Cataract Center of the Third People’s Hospital of Dalian from January 2018 to July 2018.The patients were divided into two groups according to different operative methods.There were 45 cases(45 eyes)received capsular tension reduction assisted indocyanine green anterior capsule staining(group A),and 45 cases(45 eyes)received simple indocyanine green anterior capsule staining combined with continuous curvilinear capsulorhexis(group B).All patients were followed up for best corrected visual acuity(BCVA)and corneal endothelial densities(CED)1 day and 7 days,1 month and 3 months after operation,respectively.The incidences of complications were recorded intra-operatively and postoperatively.Results There was no significant difference in BCVA or CED between the two groups 1 day,7 days,1 month and 3 months after operation(all P>0.05).In group A,1 case failed to meet the requirements of capsulorhexis and had posterior capsular rupture.In group B,12 cases failed to meet the requirements of capsulorhexis(<5.0 mm),17 cases had capsulorhexis discontinuously,and 8 cases had vitreous overflow due to posterior capsular rupture.In group A,each of above symptoms occurred in one case.After operation,there were 1 case of capsular contraction,2 cases of posterior capsular fold and 3 cases of BCVA hyperopia in group A,and 7 cases of capsular contraction,8 cases of posterior capsular fold and 10 cases of BCVA hyperopia in group B.Conclusion Compared with conventional capsulorhexis combined with simple indocyanine green anterior capsule staining,capsular tension reduction assisted indocyanine green anterior capsule staining is safe and reliable for treatment of white intumescent cataract,and has important significance for the safety of clinical cataract operation.
作者
王丽雯
宋建
邹吉新
WANG Liwen;SONG Jian;ZOU Jixin(Department of Ophthalmology,Cataract Center,the Third People’s Hospital of Dalian,Dalian 116000,Liaoning Province,China)
出处
《眼科新进展》
CAS
北大核心
2020年第3期265-267,共3页
Recent Advances in Ophthalmology
关键词
囊袋减张
吲哚菁绿
膨胀期白内障
capsular tension reduction
indocyanine green
intumescent cataract
作者简介
王丽雯,女,1985年11月出生,辽宁大连人,硕士,主治医师,联系电话:13704111125,E-mail:106820691@qq.com,ORCID:0000-0001-6513-7727;通讯作者:邹吉新,男,1966年12月出生,山东威海人,主任医师,白内障中心主任,研究方向:白内障及眼底病,E-mail:zoujixin881@sina.cn,ORCID:0000-0001-7927-5354。
