25G微创系统在玻璃体切除术后白内障手术中的应用

doi:10.13481/j.1671-587x.20180231

吉林大学学报(医学版) ›› 2018, Vol. 44 ›› Issue (02): 379-382.doi: 10.13481/j.1671-587x.20180231

25G微创系统在玻璃体切除术后白内障手术中的应用

王恒, 李亚萍, 裴颖, 赵亮亮, 赵梅生

吉林大学第二医院眼科中心, 吉林长春 130041

收稿日期:2017-11-14 出版日期:2018-03-28 发布日期:2018-03-30
通讯作者: 赵梅生,教授,主任医师,硕士研究生导师(Tel:0431-88766114,E-mail:zhaoms1961@sina.com) E-mail:zhaoms1961@sina.com
作者简介:王恒(1990-),男,吉林省梅河口市人,在读医学硕士,主要从事白内障诊治基础与临床方面的研究。
基金资助:
吉林省科技厅科技发展计划项目资助课题（20120722）

Application of 25-gauge mini-invasive system in cataract surgery after vitrectomy

WANG Heng, LI Yaping, PEI Ying, ZHAO Liangliang, ZHAO Meisheng

Department of Ophthalmology, Second Hospital, Jilin University, Changchun 130041, China

Received:2017-11-14 Online:2018-03-28 Published:2018-03-30

摘要/Abstract

摘要： 目的：观察25G微创系统在玻璃体切除术后白内障手术中的治疗效果，为玻璃体切割术后并发白内障患者提供安全有效的手术选择。方法：选择玻璃体切除术后并发白内障患者29例（30只眼），均行25G微创玻璃体腔灌注下白内障超声乳化联合人工晶状体植入术，观察术后最佳矫正视力（BCVA）、眼压、角膜内皮细胞丢失率及术中和术后并发症。结果：所有患者均顺利完成手术。30只眼中，术后1个月BCVA≥0.5者5只眼，0.3~0.5者8只眼，0.1~0.3者9只眼，指数~0.1者8只眼；与术前比较，术后1个月BCVA差异均有统计学意义（P<0.05）。术前和术后1d、7d、1个月、3个月患者平均眼压分别为（17.13±2.84）、（17.20±4.16）、（17.43±3.41）、（17.36±2.51）和（16.73±2.33） mmHg；术后1d眼压与术前比较差异有统计学意义（P<0.05），其余各组眼压比较差异无统计学意义（P>0.05）。术前角膜内皮细胞计数平均为（2467±280） mm^-2，术后7d平均为（2033±209） mm^-2，角膜内皮细胞丢失率为17.59%。患者术后无视网膜脱离、脉络膜脱离、后囊破裂及爆发性脉络膜出血等严重并发症发生。结论：应用25G微创系统行玻璃体切除术后白内障超声乳化术可稳定眼压，减少并发症，并有效地提高手术的安全性。

关键词: 白内障, 超声乳化手术, 玻璃体切除术, 25G灌注

Abstract: Objective:To observe the curative effect of 25-gauge mini-invasive system in cataract surgery after vitrectomy,and to provide a safe operation method for the patients with cataract induced by vitrectomy. Methods: A total of 29 patients (30 eyes) with cataract after vitrectomy were selected. Phacoemulsification and implantation of artificial lens with 25-gauge mini-invasive irrigation system were performed in the patients.The best corrected visual acuity(BCVA),intraocular pressure(IOP),corneal endothelial cell loss rate,intraoperative and postoperative complications of the patients were observed. Results: All the patients received the operation successfully. One month after operation,BCVA ≥ 0.5 were found in 5 eyes,0.3-0. 5 in 8 eyes,0.1-0.3 in 9 eyes,Fc-0.1 in 8 eyes; the BCVA 1 month after operation had significant differences compared with before operation(P<0.05).The mean IOP before operation and 1 d,7 d,1 month,3 months after operation were (17.13±2.84),(17.20±4.16),(17.43±3.41),(17.36±2.51),and(16.73±2.33)mmHg;the IOP of the patients at 1 d after operation had significant difference compared with before operation(P<0.05).No statistically significant differences of IOP were found between other groups(P>0.05).The number of corneal endothelial cells before operation was(2 467±280)mm^-2 and the number after operation was (2 033±209)mm^-2;the loss rate of corneal endothelial cells was 17.59%.There were no sever complications such as retinal redetachment,detachment of choroid,capsular rupture or suprachoroidal hemorrahage. Conclusion: Phacoemulsification for cataract after vitrectomy with 25G mini-invasive system way can maintain the IOP,reduce the complications and enhance the security in cataract surgery.

Key words: cataract, vitrectomy, 25G irrigation, phacoemulsification

中图分类号:

王恒, 李亚萍, 裴颖, 赵亮亮, 赵梅生. 25G微创系统在玻璃体切除术后白内障手术中的应用[J]. 吉林大学学报(医学版), 2018, 44(02): 379-382.

WANG Heng, LI Yaping, PEI Ying, ZHAO Liangliang, ZHAO Meisheng. Application of 25-gauge mini-invasive system in cataract surgery after vitrectomy[J]. Journal of Jilin University Medicine Edition, 2018, 44(02): 379-382.

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25G微创系统在玻璃体切除术后白内障手术中的应用

Application of 25-gauge mini-invasive system in cataract surgery after vitrectomy

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