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兔眼囊外晶状体摘除术中冷冻溶解及使用肝素化冲洗液预防后囊膜混浊

Prevention of posterior capsular opacification by cryolysis and the use of heparinized irrigating solution during extracapsular lens extraction in rabbits.

作者信息

Zaturinsky B, Naveh N, Saks D, Solomon A S

机构信息

Maurice and Gabriela Goldschleger Eye Research Institute, Chaim Sheba Medical Center, Tel Aviv University, Sackler Faculty of Medicine, Tel Hashomer, Israel.

出版信息

Ophthalmic Surg. 1990 Jun;21(6):431-4.

PMID:2381679
Abstract

We tried applying a specially-designed cryoprobe to the posterior capsule as well as adding heparin, an anticoagulative, anti-inflammatory compound, to the anterior chamber irrigation solution in an attempt to inhibit secondary cataract formation following a planned extracapsular lens extraction in 36 rabbits. The first group received both cryo treatment and heparin; a second group received heparin without cryo treatment; a third group received neither heparin nor cryo treatment. Complete opacification of the lens developed 3 months after the operation in all the rabbits not treated with heparin, and in 50% of those that received heparin. The addition of cryo treatment to the heparin-treated rabbits further reduced opacification by 20%. We conclude that in rabbits, cryo treatment, combined with intracameral administration of heparin during surgery, has a significant inhibitory effect on secondary cataract formation.

摘要

我们尝试将一种特别设计的冷冻探头应用于后囊,并在36只兔子的前房冲洗液中添加肝素(一种抗凝、抗炎化合物),以抑制计划性囊外晶状体摘除术后继发性白内障的形成。第一组接受冷冻治疗和肝素;第二组接受肝素但未接受冷冻治疗;第三组既未接受肝素也未接受冷冻治疗。在未接受肝素治疗的所有兔子以及接受肝素治疗的50%兔子中,术后3个月晶状体完全混浊。对接受肝素治疗的兔子增加冷冻治疗可使混浊程度进一步降低20%。我们得出结论,在兔子中,冷冻治疗与术中前房内注射肝素相结合,对继发性白内障的形成具有显著的抑制作用。

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1
Prevention of posterior capsular opacification by cryolysis and the use of heparinized irrigating solution during extracapsular lens extraction in rabbits.兔眼囊外晶状体摘除术中冷冻溶解及使用肝素化冲洗液预防后囊膜混浊
Ophthalmic Surg. 1990 Jun;21(6):431-4.
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Advances in the Study of Lens Refilling.晶状体再填充研究进展
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Effect of low molecular weight heparin (enoxaparin) on congenital cataract surgery.低分子量肝素(依诺肝素)对先天性白内障手术的影响。
Int J Ophthalmol. 2012;5(5):596-9. doi: 10.3980/j.issn.2222-3959.2012.05.10. Epub 2012 Oct 18.
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Prevention of posterior capsular opacification through cyclooxygenase-2 inhibition.通过抑制环氧化酶-2预防后囊膜混浊。
Mol Vis. 2007 Apr 30;13:677-91.
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Long-term results of sealed capsule irrigation using distilled water to prevent posterior capsule opacification: a prospective clinical randomised trial.使用蒸馏水进行密封囊袋冲洗预防后囊膜混浊的长期结果:一项前瞻性临床随机试验。
Br J Ophthalmol. 2007 Jul;91(7):912-5. doi: 10.1136/bjo.2006.106468. Epub 2007 Jan 3.
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Mitomycin against posterior capsular opacification: an experimental study in rabbits.丝裂霉素预防后囊膜混浊:兔实验研究
Br J Ophthalmol. 1996 Dec;80(12):1087-91. doi: 10.1136/bjo.80.12.1087.