针对病态肥胖患者的白内障手术改良
Modifications in cataract surgery for the morbidly obese patient.
作者信息
Mansour Ahmad M, Al-Dairy Mays
机构信息
Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.
出版信息
J Cataract Refract Surg. 2004 Nov;30(11):2265-8. doi: 10.1016/j.jcrs.2004.02.088.
PMID:15519073
Abstract
We describe a standing phacoemulsification technique (SPT) with the patient in reverse Trendelenburg position (RTP) as a means of performing surgery in morbidly obese patients. These patients have elevated vitreous pressure, leading to a high rate of posterior capsule rupture and vitreous loss. The SPT with RTP normalizes vitreous pressure, facilitating cataract surgery.
摘要
我们描述了一种让患者处于头高脚低位（RTP）的直立式超声乳化技术（SPT），作为对病态肥胖患者进行手术的一种方法。这些患者玻璃体压力升高，导致后囊破裂和玻璃体丢失的发生率很高。采用RTP的SPT可使玻璃体压力正常化，便于进行白内障手术。
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