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["乳糜积液症"——Ⅲ型包膜阻滞综合征]

["Lacteocrumenasia"--Capsular block syndrome III].

作者信息

Ramharter-Sereinig A, Schmid E, Bechrakis N

机构信息

Univ.-Augenklinik Innsbruck, Anichstrasse 35, 6020, Innsbruck, Osterreich.

出版信息

Ophthalmologe. 2010 Feb;107(2):175-7. doi: 10.1007/s00347-009-2013-2.

DOI:10.1007/s00347-009-2013-2
PMID:19756643
Abstract

Capsular block syndrome (CBS) is a complication of uncomplicated cataract surgery. Depending on etiology and the time of onset CBS can be subdivide into three types. The cases of 4 patients with CBS type III who presented with a milky fluid in the space between the posterior surface of the implanted intraocular lens (IOL) and the anterior surface of the distended posterior capsular bag are described. All patients complained of reduced vision. The therapy of choice is Nd:YAG laser posterior capsulotomy but with suspected low-grade endophthalmitis surgical intervention can also be carried out and submitting the plug for bacterial culture.

摘要

囊袋阻滞综合征(CBS)是单纯性白内障手术的一种并发症。根据病因和发病时间,CBS可分为三种类型。本文描述了4例III型CBS患者的病例,这些患者在植入的人工晶状体(IOL)后表面与扩张的后囊袋前表面之间的间隙中出现了乳白色液体。所有患者均主诉视力下降。首选治疗方法是钕:钇铝石榴石激光后囊切开术,但如果怀疑有低度眼内炎,也可进行手术干预并送检培养物以进行细菌培养。

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引用本文的文献

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[Posterior YAG capsulotomy: selection of the application pattern].[后囊膜YAG切开术:应用模式的选择]
Ophthalmologe. 2022 May;119(5):481-490. doi: 10.1007/s00347-021-01526-x. Epub 2021 Nov 12.

本文引用的文献

1
Capsular block syndrome after cataract surgery: clinical analysis and classification.白内障手术后的囊袋阻滞综合征:临床分析与分类
J Cataract Refract Surg. 2008 Mar;34(3):357-63. doi: 10.1016/j.jcrs.2007.11.026.
2
Photographic essay. Anterior segment optical coherence tomography findings of early capsular block syndrome.摄影随笔。早期晶状体囊阻滞综合征的眼前节光学相干断层扫描结果。
Clin Exp Ophthalmol. 2007 Nov;35(8):770-1. doi: 10.1111/j.1442-9071.2007.01585.x.
3
Phacoanaphylactic endophthalmitis secondary to capsular block syndrome.
晶状体囊膜阻滞综合征继发的晶状体过敏性眼内炎
J Cataract Refract Surg. 2007 May;33(5):921-2. doi: 10.1016/j.jcrs.2007.01.023.
4
Outcome of posterior capsulotomy in late capsular block syndrome with posterior capsular opacification.后囊阻滞综合征晚期合并后囊膜混浊行后囊切开术的结果
Clin Exp Ophthalmol. 2006 Dec;34(9):866-9. doi: 10.1111/j.1442-9071.2006.01338.x.
5
Toxic anterior segment syndrome.毒性眼前节综合征
J Cataract Refract Surg. 2006 Feb;32(2):324-33. doi: 10.1016/j.jcrs.2006.01.065.
6
Intraoperative peripheral anterior capsulotomy to prevent early postoperative capsular block syndrome.术中周边前囊切开术预防术后早期囊阻滞综合征。
J Cataract Refract Surg. 2004 Sep;30(9):1840-2. doi: 10.1016/j.jcrs.2004.01.021.
7
Intraoperative capsular block syndrome masquerading as expulsive hemorrhage.伪装成暴发性出血的术中囊袋阻滞综合征
Eur J Ophthalmol. 2002 Jul-Aug;12(4):333-5. doi: 10.1177/112067210201200416.
8
Capsular block syndrome associated with secondary angle-closure glaucoma.与继发性闭角型青光眼相关的晶状体囊阻滞综合征
J Cataract Refract Surg. 2001 Sep;27(9):1503-5. doi: 10.1016/s0886-3350(01)00878-1.
9
Capsular block syndrome: A case series.囊阻滞综合征:病例系列
J Cataract Refract Surg. 2000 Mar;26(3):462-7. doi: 10.1016/s0886-3350(99)00339-9.
10
Analysis of liquid accumulated in the distended capsular bag in early postoperative capsular block syndrome.术后早期囊袋阻滞综合征中扩张囊袋内积聚液体的分析。
J Cataract Refract Surg. 2000 Mar;26(3):420-5. doi: 10.1016/s0886-3350(99)00430-7.