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水囊内转刀头超声乳化白内障吸除术。

Endocapsular carousel technique phacoemulsification.

机构信息

University of Utah School of Medicine, Salt Lake City, Utah, USA.

出版信息

J Cataract Refract Surg. 2011 Mar;37(3):433-7. doi: 10.1016/j.jcrs.2010.12.013.

DOI:10.1016/j.jcrs.2010.12.013
PMID:21333865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4107634/
Abstract

We describe an approach to cataract phacoemulsification that uses the carouseling technique within the capsular bag. This is made possible by a newly designed phacoemulsification tip with 3 unique modifications: a 20-degree right bend in the tip, a semicircular opening, and a third irrigation port. These 3 features facilitate the carouseling technique of phacoemulsification without expressing the lens into the anterior chamber. The method decreases corneal endothelial injury by maximizing the distance between the delivered thermal energy and the corneal endothelium. The preoperative and postoperative pachymetry and endothelial cell counts in the first 8 patients treated using this technique are reported.

摘要

我们描述了一种在囊袋内使用回旋技术的白内障超声乳化手术方法。这得益于一种新设计的超声乳化头,它具有 3 个独特的改进:尖端有 20 度的右弯、半圆形开口和第三个冲洗口。这 3 个特征有助于在不将晶状体挤出前房的情况下进行超声乳化的回旋技术。该方法通过最大限度地增加传递的热能与角膜内皮之间的距离,减少了角膜内皮损伤。报道了使用该技术治疗的前 8 例患者的术前和术后角膜厚度和内皮细胞计数。

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引用本文的文献

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Int J Ophthalmol. 2021 Dec 18;14(12):1868-1875. doi: 10.18240/ijo.2021.12.09. eCollection 2021.
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Polymers (Basel). 2021 Oct 15;13(20):3552. doi: 10.3390/polym13203552.
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One-Handed Rotational Phacoemulsification Technique.单手旋转式超声乳化技术。
Clin Ophthalmol. 2021 Feb 5;15:431-435. doi: 10.2147/OPTH.S281857. eCollection 2021.
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A rapid technique for en masse soft cataract phacoemulsification.一种用于大量软性白内障超声乳化的快速技术。
Clin Ophthalmol. 2019 Apr 26;13:755-762. doi: 10.2147/OPTH.S197359. eCollection 2019.

本文引用的文献

1
Endothelial cell damage after cataract surgery: divide-and-conquer versus phaco-chop technique.白内障手术后的内皮细胞损伤:分而治之法与超声乳化劈核技术
J Cataract Refract Surg. 2008 Jun;34(6):996-1000. doi: 10.1016/j.jcrs.2008.02.013.
2
Corneal endothelial cell loss after cataract extraction by using ultrasound phacoemulsification versus a fluid-based system.超声乳化白内障摘除术与液基系统白内障摘除术后角膜内皮细胞损失情况比较
Cornea. 2008 Jan;27(1):17-21. doi: 10.1097/ICO.0b013e3181583115.
3
Wall shear stress--an important determinant of endothelial cell function and structure--in the arterial system in vivo. Discrepancies with theory.体内动脉系统中的壁面剪应力——内皮细胞功能和结构的重要决定因素。与理论的差异。
J Vasc Res. 2006;43(3):251-69. doi: 10.1159/000091648. Epub 2006 Feb 20.
4
Postoperative corneal swelling correlates strongly to corneal endothelial cell loss after phacoemulsification cataract surgery.白内障超声乳化吸除术后角膜肿胀与角膜内皮细胞丢失密切相关。
Am J Ophthalmol. 2005 Jun;139(6):1035-41. doi: 10.1016/j.ajo.2004.12.080.
5
Risk factors for endothelial cell loss after phacoemulsification surgery by a junior resident.初级住院医师行白内障超声乳化吸除术后内皮细胞丢失的危险因素。
J Cataract Refract Surg. 2004 Apr;30(4):839-43. doi: 10.1016/S0886-3350(03)00648-5.
6
Cataract treatment in the beginning of the 21st century.21世纪初的白内障治疗。
Am J Ophthalmol. 2003 Jul;136(1):146-54. doi: 10.1016/s0002-9394(03)00226-5.
7
Corneal endothelial cell protection during phacoemulsification: low- versus high-molecular-weight sodium hyaluronate.
J Cataract Refract Surg. 2002 Sep;28(9):1557-60. doi: 10.1016/s0886-3350(02)01540-7.
8
Phacoemulsification in the anterior chamber.前房内超声乳化术。
J Cataract Refract Surg. 2002 Jan;28(1):67-75. doi: 10.1016/s0886-3350(01)01018-5.
9
Identification of free radicals produced during phacoemulsification.白内障超声乳化术中产生的自由基的鉴定。
J Cataract Refract Surg. 2001 Mar;27(3):463-70. doi: 10.1016/s0886-3350(00)00643-x.
10
Endothelial cell loss after phacoemulsification: relation to preoperative and intraoperative parameters.白内障超声乳化术后内皮细胞丢失:与术前及术中参数的关系
J Cataract Refract Surg. 2000 May;26(5):727-32. doi: 10.1016/s0886-3350(99)00462-9.