Androudi Sofia, Brazitikos Periklis D, Papadopoulos Nick T, Dereklis Dimitrios, Symeon Lake, Stangos Nikolaos
Department of Ophthalmology, Aristotle University Medical School, Thessaloniki, Greece.
J Cataract Refract Surg. 2004 Feb;30(2):449-52. doi: 10.1016/S0886-3350(03)00584-4.
To compare the incidence of posterior capsule rupture and vitreous loss during phacoemulsification with and without the use of an anterior chamber maintainer (ACM) SETTING: Aristotle University Eye Clinic, Thessaloniki, Greece.
The surgical records of patients who had phacoemulsification by experienced surgeons over a 2-year period were reviewed. The cases were divided into 2 groups: surgery performed without the use of an ACM (no-ACM group) and surgery performed with the use of an ACM (ACM group).
The no-ACM group comprised 231 cases and the ACM group, 312 cases. Posterior capsule rupture occurred in 19 cases (8.22%) and 22 cases (7.05%), respectively. Of the patients with posterior capsule rupture, 6 (31.57%) in the no-ACM group and 16 (72.72%) in the ACM group had vitreous loss and required an anterior vitrectomy; the difference between the 2 groups was statistically significant (P =.03).
The use of an ACM in phacoemulsification provided a consistently deep anterior chamber and approximately the same rate of complications as with a standard technique in the hands of experienced surgeons. However, when posterior capsule rupture occurred, the incidence of vitreous loss was significantly higher in eyes with an ACM.
比较在有或没有使用前房维持器（ACM）的情况下，白内障超声乳化术中后囊破裂和玻璃体丢失的发生率。
希腊塞萨洛尼基的亚里士多德大学眼科诊所。
回顾了经验丰富的外科医生在两年期间进行白内障超声乳化术的患者的手术记录。病例分为两组：未使用ACM进行的手术（无ACM组）和使用ACM进行的手术（ACM组）。
无ACM组包括231例，ACM组包括312例。后囊破裂分别发生在19例（8.22%）和22例（7.05%）。在后囊破裂的患者中，无ACM组有6例（31.57%）、ACM组有16例（72.72%）发生玻璃体丢失并需要进行前部玻璃体切除术；两组之间的差异具有统计学意义（P = 0.03）。
在白内障超声乳化术中使用ACM可使前房始终保持较深，并且在经验丰富的外科医生手中，其并发症发生率与标准技术大致相同。然而，当发生后囊破裂时，使用ACM的眼中玻璃体丢失的发生率明显更高。
