Glaucoma Associates of Texas, Dallas, Texas 75231, USA.
J Cataract Refract Surg. 2012 Jun;38(6):938-40. doi: 10.1016/j.jcrs.2012.04.003.
We describe a new approach to treat late-onset capsular distension syndrome in which the fluid in the capsular bag is cloudy and prevents a posterior neodymium:YAG (Nd:YAG) laser capsulotomy. A peripheral laser iridotomy is created through which the anterior lens capsule peripheral to the IOL optic is accessed. This opening in the iris provides an access point through which an anterior Nd:YAG laser capsulotomy can be performed. Following disruption of the anterior lens capsule, the capsular fluid is released into the anterior chamber and absorbed through the inherent drainage system of the eye. This approach avoids the need for a more invasive surgical intervention.
我们描述了一种治疗迟发性囊袋扩张综合征的新方法,该方法适用于囊袋内的液体混浊且妨碍行后发性钕:钇铝石榴石(Nd:YAG)激光后囊切开术的情况。通过周边激光虹膜切开术在虹膜上制造一个口,由此可以接触到人工晶状体光学区以外的前晶状体囊。通过这个虹膜开口可以进行前房Nd:YAG 激光后囊切开术。前晶状体囊破裂后,囊袋内的液体排入前房并通过眼睛固有的引流系统吸收。这种方法避免了更具侵袭性的手术干预。