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[玻璃体切除术中眼内填充后的晶状体变化。术后6个月Scheimpflug照片的线性密度测量图像分析]

[Lens changes following intraocular tamponade in vitrectomy. Linear densitometric image analysis of Scheimpflug photographs 6 months after operation].

作者信息

Koch F, Kloss K M, Hockwin O, Spitznas M

机构信息

Universitäts-Augenklinik Bonn.

出版信息

Klin Monbl Augenheilkd. 1991 Jun;199(1):8-11. doi: 10.1055/s-2008-1046037.

Abstract

A complication arising from vitrectomy is the formation of cataract. As a result of an intra- and postoperative tamponade chosen (BSS, air, SF6-gas, silicon oil) the size and frequency of the cataract varies accordingly. 6 months after vitrectomy Scheimpflug photography and microdensitometric evaluation of the negatives were performed on 30 pairs of phacic eyes showing changes in the transparency of the lens. Following silicon oil tamponade a significant deterioration of transparency (t-test) was observed in the lens nucleus of the operated eye; in the area of the lens in front of the nucleus a marked but not significant deterioration of transparency was discovered following both silicon oil and SF6-gas tamponade. In the case of the area in front of the nucleus following SF6-gas tamponade as well as the whole of the lens following BSS or air tamponade a small but not at all significant difference in lens transparency was apparent after comparison of the operated to the non-operated eyes.

摘要

玻璃体切割术引发的一种并发症是白内障的形成。由于术中及术后选用的填塞物(平衡盐溶液、空气、六氟化硫气体、硅油)不同,白内障的大小和发生率也相应有所差异。在玻璃体切割术6个月后,对30对晶状体透明度出现变化的有晶状体眼进行了Scheimpflug摄影及底片的显微密度测定评估。在硅油填塞后,观察到术眼晶状体核的透明度显著下降(t检验);在晶状体核前方区域,硅油和六氟化硫气体填塞后均发现透明度有明显但不显著的下降。在六氟化硫气体填塞后晶状体核前方区域以及平衡盐溶液或空气填塞后整个晶状体的情况下,将术眼与未手术眼进行比较后,晶状体透明度存在微小但完全不显著的差异。

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