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使用Healon 5管理小儿白内障手术中的术中瞳孔缩小。

Management of Intraoperative Miosis during Pediatric Cataract Surgery using Healon 5.

作者信息

Jhanji Vishal, Sharma Namrata, Vajpayee Rasik B

机构信息

Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.

出版信息

Middle East Afr J Ophthalmol. 2011 Jan;18(1):55-7. doi: 10.4103/0974-9233.75888.

DOI:10.4103/0974-9233.75888
PMID:21572735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3085153/
Abstract

PURPOSE

We describe a technique for achieving pupillary dilatation in order to manage and counteract intraoperative miosis during pediatric cataract surgery using viscoadaptive viscoelastic (sodium hyaluronate 2.3%).

MATERIALS AND METHODS

The technique of viscomydriasis was used in six eyes with pediatric cataracts with intraoperative pupillary miosis.

RESULTS

Pupillary dilatation was achieved and maintained in all eyes throughout cataract surgery. All the surgical steps including anterior and posterior capsulorrhexis and aspiration were performed successfully.

CONCLUSIONS

Viscomydriasis is a simple and effective technique for the management of intraoperative pupillary miosis during cataract surgery in pediatric eyes.

摘要

目的

我们描述一种实现瞳孔扩张的技术,以在小儿白内障手术中使用粘弹性粘弹剂(2.3%透明质酸钠)来控制和对抗术中瞳孔缩小。

材料与方法

对6只患有小儿白内障且术中出现瞳孔缩小的眼睛采用了粘弹性散瞳技术。

结果

在所有眼睛的白内障手术全过程中均实现并维持了瞳孔扩张。包括前、后囊撕开及抽吸在内的所有手术步骤均成功完成。

结论

粘弹性散瞳是一种用于小儿白内障手术中控制术中瞳孔缩小的简单有效的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c42/3085153/948ae004274a/MEAJO-18-55-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c42/3085153/948ae004274a/MEAJO-18-55-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c42/3085153/948ae004274a/MEAJO-18-55-g001.jpg

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Use of capsulorhexis and Healon 5 in children younger than 5 years of age.
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Pediatric cataract surgery.小儿白内障手术
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Intraoperative Evaluation of Phacoemulsification Cataract Surgery with and without the Use of Ophthalmic Viscosurgical Devices.使用和不使用眼科粘弹剂的白内障超声乳化手术的术中评估
Middle East Afr J Ophthalmol. 2020 Apr 29;27(1):47-52. doi: 10.4103/meajo.MEAJO_140_19. eCollection 2020 Jan-Mar.
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Techniques of anterior capsulotomy in cataract surgery.白内障手术中的前囊切开技术。
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Cataract surgery in small pupils.小瞳孔白内障手术
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Cataract surgery through the small pupil.经小瞳孔白内障手术
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Capsulorhexis: Pearls and pitfalls.连续环形撕囊术:要点与陷阱。
Saudi J Ophthalmol. 2012 Jan;26(1):33-40. doi: 10.1016/j.sjopt.2011.10.007.
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Completion rate of continuous curvilinear capsulorhexis in pediatric cataract surgery using different viscoelastic materials.使用不同粘弹剂材料的儿童白内障手术中连续环形撕囊的完成率
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