连续环形撕囊术：要点与陷阱。
Capsulorhexis: Pearls and pitfalls.
作者信息
Mohammadpour Mehrdad, Erfanian Reza, Karimi Nasser
机构信息
Eye Research Centre, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Saudi J Ophthalmol. 2012 Jan;26(1):33-40. doi: 10.1016/j.sjopt.2011.10.007.
Abstract
A critical step in phacoemulsification (as well as extracapsular cataract extraction) is making a window in anterior capsule wall (i.e. anterior capsulotomy). Continuous Curvilinear Capsulorhexis (CCC) has become recognized as the standard method of anterior capsulectomy. Techniques employed for CCC have undergone sustained evolution. The present review evaluates elementary principles of CCC. Management of CCC in the presence of small pupil and pseudoexfoliation syndrome is discussed. Main differences of pediatric CCC from its adult-style counterpart and finally several techniques of rescue of an extending capsulorhexis are also reviewed.
摘要
超声乳化白内障吸除术（以及白内障囊外摘除术）中的关键步骤是在前囊壁上制作一个窗口（即前囊切开术）。连续环形撕囊术（CCC）已成为公认的前囊切除术标准方法。用于CCC的技术一直在持续发展。本综述评估了CCC的基本原理。讨论了小瞳孔和假性剥脱综合征情况下CCC的处理。还回顾了儿童CCC与其成人式对应操作的主要差异，以及最后几种挽救扩大撕囊的技术。
相似文献
1
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.
2
Ultrasound biomicroscopy examination of intraocular lens haptic position after phacoemulsification with continuous curvilinear capsulorhexis and extracapsular cataract extraction with linear capsulotomy.超声生物显微镜检查连续环形撕囊白内障超声乳化术后及线性截囊囊外白内障摘除术后人工晶状体袢的位置。
Acta Ophthalmol Scand. 1999 Aug;77(4):394-6. doi: 10.1034/j.1600-0420.1999.770406.x.
3
Randomized study of the blood-aqueous barrier reaction after phacoemulsification and extracapsular cataract extraction.白内障超声乳化吸除术和囊外白内障摘除术后血-房水屏障反应的随机研究
Acta Ophthalmol Scand. 1998 Oct;76(5):573-8. doi: 10.1034/j.1600-0420.1998.760512.x.
4
Continuous Curvilinear Capsulorhexis - A Practical Review.连续环形撕囊术——实用综述。
Semin Ophthalmol. 2022 Jul 4;37(5):583-592. doi: 10.1080/08820538.2022.2054663. Epub 2022 Apr 7.
5
Posterior continuous curvilinear capsulorhexis with hydrogel and silicone intraocular lens implantation: development of capsulorhexis size and capsule opacification.后连续环形撕囊联合水凝胶和硅胶人工晶状体植入：撕囊大小的发展与囊膜混浊
J Cataract Refract Surg. 2001 Jun;27(6):825-32. doi: 10.1016/s0886-3350(00)00793-8.
6
Comparison of anterior vitrectorhexis and continuous curvilinear capsulorhexis in pediatric cataract and intraocular lens implantation surgery: a 10-year analysis.儿童白内障及人工晶状体植入手术中前部玻璃体撕囊术与连续环形撕囊术的比较：一项10年的分析
J AAPOS. 2007 Oct;11(5):443-6. doi: 10.1016/j.jaapos.2007.03.012. Epub 2007 May 29.
7
Assessment of intraoperative complications in intumescent cataract surgery using 2 ophthalmic viscosurgical devices and trypan blue staining.使用两种眼科粘弹剂和台盼蓝染色评估膨胀期白内障手术中的术中并发症
J Cataract Refract Surg. 2015 Apr;41(4):714-8. doi: 10.1016/j.jcrs.2014.06.039.
8
Effect of intraocular lens and anterior capsule opening type on posterior capsule opacification.人工晶状体及前囊开口类型对后囊混浊的影响。
J Cataract Refract Surg. 1999 Aug;25(8):1140-6. doi: 10.1016/s0886-3350(99)00119-4.
9
Changing concept and modern techniques in cataract surgery.白内障手术的观念转变与现代技术
Acta Chir Hung. 1997;36(1-4):184-5.
10
[Diathermic high-frequency capsulorhexis in cataract surgery].[白内障手术中的透热高频撕囊术]
Yan Ke Xue Bao. 1999 Jun;15(2):121-3.
引用本文的文献
1
Face and Content Validity of Farra Eye Model as a Surgical Simulator for Capsulorhexis Training.法拉眼模型作为撕囊术训练手术模拟器的表面效度和内容效度
J CME. 2025 Feb 17;14(1):2467566. doi: 10.1080/28338073.2025.2467566. eCollection 2025.
2
Intra-operative challenges encountered using the zepto nano-pulse precision capsulotomy device.使用zepto纳米脉冲精密囊切开术设备时遇到的术中挑战。
Am J Ophthalmol Case Rep. 2023 Mar 31;30:101841. doi: 10.1016/j.ajoc.2023.101841. eCollection 2023 Jun.
3
Persistent opioid use in cataract surgery pain management and the role of nonopioid alternatives.持续性阿片类药物在白内障手术疼痛管理中的应用及非阿片类替代药物的作用。
J Cataract Refract Surg. 2022 Jun 1;48(6):730-740. doi: 10.1097/j.jcrs.0000000000000860. Epub 2021 Nov 12.
4
Intraoperative floppy iris syndrome: an updated review of literature.术中虹膜松弛综合征：文献综述更新
Int Ophthalmol. 2021 Oct;41(10):3539-3546. doi: 10.1007/s10792-021-01936-5. Epub 2021 Jun 29.
5
Addressing the MSICS learning curve: identification of instrument-holding techniques used by experienced surgeons.应对小切口白内障囊外摘除术的学习曲线：识别经验丰富的外科医生所采用的持器械技术。
Int J Ophthalmol. 2021 May 18;14(5):693-699. doi: 10.18240/ijo.2021.05.08. eCollection 2021.
6
Surgical outcomes with high and low pulse energy femtosecond laser systems for cataract surgery.白内障手术中采用高脉冲能量和低脉冲能量飞秒激光系统的手术效果。
Sci Rep. 2021 May 4;11(1):9525. doi: 10.1038/s41598-021-89046-1.
7
Cataract surgeon viewpoints on the need for novel preventative anti-inflammatory and anti-posterior capsular opacification therapies.白内障手术医生对新型预防炎症和后囊混浊治疗的需求观点。
Curr Med Res Opin. 2019 Nov;35(11):1971-1981. doi: 10.1080/03007995.2019.1647012. Epub 2019 Aug 28.
8
Updates on managements of pediatric cataract.小儿白内障治疗的最新进展。
J Curr Ophthalmol. 2018 Dec 22;31(2):118-126. doi: 10.1016/j.joco.2018.11.005. eCollection 2019 Jun.
9
The role of HIF-1α in the TGF-β2-mediated epithelial-to-mesenchymal transition of human lens epithelial cells.缺氧诱导因子-1α（HIF-1α）在转化生长因子-β2（TGF-β2）介导的人晶状体上皮细胞上皮-间质转化中的作用
J Cell Biochem. 2018 Aug;119(8):6814-6827. doi: 10.1002/jcb.26877. Epub 2018 Apr 25.
10
Flap motility as a sign of posterior capsule rupture in peripherally extended anterior capsular tears.在周边延伸的前囊撕裂中，瓣叶活动作为后囊破裂的征象。
Clin Ophthalmol. 2017 Aug 8;11:1445-1451. doi: 10.2147/OPTH.S136532. eCollection 2017.
本文引用的文献
1
Capsular block syndrome associated with femtosecond laser-assisted cataract surgery.与飞秒激光辅助白内障手术相关的囊袋阻滞综合征。
J Cataract Refract Surg. 2011 Nov;37(11):2068-70. doi: 10.1016/j.jcrs.2011.09.003. Epub 2011 Sep 22.
2
Femtosecond laser capsulotomy.飞秒激光囊膜切开术。
J Cataract Refract Surg. 2011 Jul;37(7):1189-98. doi: 10.1016/j.jcrs.2011.04.022.
3
Femtosecond laser: the future of cataract surgery?飞秒激光：白内障手术的未来？
J Cataract Refract Surg. 2011 Jul;37(7):1177-8. doi: 10.1016/j.jcrs.2011.05.017.
4
Management of Intraoperative Miosis during Pediatric Cataract Surgery using Healon 5.使用Healon 5管理小儿白内障手术中的术中瞳孔缩小。
Middle East Afr J Ophthalmol. 2011 Jan;18(1):55-7. doi: 10.4103/0974-9233.75888.
5
Posterior capsule management in congenital cataract surgery.先天性白内障手术中后囊膜的管理。
J Cataract Refract Surg. 2011 Jan;37(1):173-93. doi: 10.1016/j.jcrs.2010.10.036.
6
How a femtosecond laser increases safety and precision in cataract surgery?飞秒激光如何提高白内障手术的安全性和精度？
Curr Opin Ophthalmol. 2011 Jan;22(1):53-7. doi: 10.1097/ICU.0b013e3283415026.
7
Rescue of an extending capsulorrhexis by creating a midway tangential anterior capsular flap: a novel technique in 22 eyes.通过创建一个中间切线前囊瓣来挽救扩展的撕囊：22 只眼的一种新方法。
Can J Ophthalmol. 2010 Jun;45(3):256-8. doi: 10.3129/i09-260.
8
Crossed-swords, capsule-pinch technique for capsulotomy in pediatric and/or loose lens cataract extraction.十字交叉法在儿童和/或晶状体疏松白内障囊外摘出术中的应用。
J Cataract Refract Surg. 2010 Feb;36(2):197-9. doi: 10.1016/j.jcrs.2009.09.029.
9
Efficacy of 2% ibopamine on the dilation of patients with pseudoexfoliation syndrome.2% 异波帕胺对假性剥脱综合征患者瞳孔散大的疗效。
Eur J Ophthalmol. 2010 Jan-Feb;20(1):120-3. doi: 10.1177/112067211002000116.
10
Cataract surgery in pseudoexfoliation syndrome.超声乳化白内障吸除术治疗假性剥脱综合征。
Curr Opin Ophthalmol. 2010 Jan;21(1):25-34. doi: 10.1097/ICU.0b013e328332f814.
Zotero 插件