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[白内障的超声乳化吸出术和超声乳化术——个人经验]

[Phaco-aspiration and phaco-emulsification of cataract--personal experience].

作者信息

Koraszewska-Matuszewska B, Samochowiec-Donocik E, Kamińska-Olechnowicz B, Koziełło T

机构信息

Kliniki Okulistycznej AM w Katowicach, Poland.

出版信息

Klin Oczna. 1990 Dec;92(11-12):220-2.

PMID:2090865
Abstract

The authors present material collected in the course of 10 years of applying the surgical technique of cataract extraction by means of a Cavitron-Kelman model 8000 V. The age of the patients oscillated between 4 months and 80 years. Phacoaspiration was performed in 4416 eyes and phacoemulsification in 2195 eyes. Following intraoperative complications were observed during surgery; rupture of the posterior lens capsule occurred in 9.75 p.c. of eyes in the course of the phacoaspiration and in 12.4 p.c. of phacoemulsification. The endothelial corneal degeneration occurred after phacoaspiration in 0.13 p.c., after phacoemulsification in 3 p.c. of cases; cystic macular oedema after phacoemulsification in 0.95 p.c. of cases. Visual acuity 5/25 to 5/10 was attained in 47.1 p.c. and visual acuity of 5/10-5/5 in 37.3 p.c. of the eyes. A larger number of complications after phacoemulsification--in spite of the time of application of the ultrasound considered as a safe one--caused a reduction in application of this method.

摘要

作者展示了在应用Cavitron-Kelman 8000 V型白内障摘除手术技术的10年过程中收集的资料。患者年龄在4个月至80岁之间。4416只眼行超声乳化抽吸术,2195只眼行超声乳化术。手术中观察到以下术中并发症:超声乳化抽吸术中9.75%的眼发生晶状体后囊破裂,超声乳化术中12.4%的眼发生晶状体后囊破裂。超声乳化抽吸术后0.13%的病例发生角膜内皮变性,超声乳化术后3%的病例发生角膜内皮变性;超声乳化术后0.95%的病例发生黄斑囊样水肿。47.1%的眼视力达到5/25至5/10,37.3%的眼视力达到5/10 - 5/5。尽管超声应用时间被认为是安全的,但超声乳化术后并发症较多,导致该方法的应用减少。

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