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超声乳化头术中骨折

Intraoperative fracture of phacoemulsification tip.

作者信息

Angmo Dewang, Khokhar Sudarshan K, Ganguly Anasua

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Middle East Afr J Ophthalmol. 2014 Jan-Mar;21(1):86-8. doi: 10.4103/0974-9233.124116.

DOI:10.4103/0974-9233.124116
PMID:24669153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3959049/
Abstract

Phacoemulsification (phaco) is an established procedure for cataract extraction and has undergone a significant advances in techniques, machines and phaco tips. The Aspiration Bypass System (ABS) phaco tip was introduced for phacoemulsification in 1998. The ABS tip allows fluid to be drawn through the opening when the phaco tip is occluded by nuclear material. The ABS tip allowed the safe use of high vacuum and flow rates and improved chamber stability by decreasing surge and therefore reducing intraoperative complications. To date, no disadvantages of ABS tips have been reported. We report a unique case of an intraoperative break of an ABS phaco tip during routine cataract surgery.

摘要

超声乳化白内障吸除术是一种成熟的白内障摘除手术,在技术、设备和超声乳化针头方面都取得了重大进展。1998年,用于超声乳化的抽吸旁路系统(ABS)针头问世。当超声乳化针头被核物质阻塞时,ABS针头可使液体从开口处吸出。ABS针头允许安全使用高真空和流速,并通过减少波动来提高前房稳定性,从而减少术中并发症。迄今为止,尚未有关于ABS针头缺点的报道。我们报告了一例在常规白内障手术中ABS超声乳化针头术中断裂的罕见病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1242/3959049/b14dd1d6d567/MEAJO-21-86-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1242/3959049/edec1277eecb/MEAJO-21-86-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1242/3959049/18b64335b6f7/MEAJO-21-86-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1242/3959049/b14dd1d6d567/MEAJO-21-86-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1242/3959049/edec1277eecb/MEAJO-21-86-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1242/3959049/18b64335b6f7/MEAJO-21-86-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1242/3959049/b14dd1d6d567/MEAJO-21-86-g003.jpg

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Intraoperative fracture of phacoemulsification tip.超声乳化头术中骨折
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Clin Ophthalmol. 2021 Apr 12;15:1491-1501. doi: 10.2147/OPTH.S292849. eCollection 2021.
2
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Am J Ophthalmol Case Rep. 2021 Mar 5;22:101051. doi: 10.1016/j.ajoc.2021.101051. eCollection 2021 Jun.
3
Phacoemulsification tip fracture.超声乳化吸头断裂。

本文引用的文献

1
Second instrument tip breaks during phacoemulsification.超声乳化过程中第二个器械尖端断裂。
Can J Ophthalmol. 2008 Dec;43(6):702-6. doi: 10.3129/i08-148.
2
Objective measurement of postocclusion surge during phacoemulsification in human eye-bank eyes.人眼库眼球超声乳化术中阻塞后眼压波动的客观测量
Am J Ophthalmol. 2007 Mar;143(3):437-40. doi: 10.1016/j.ajo.2006.11.017. Epub 2006 Dec 18.
3
Phacoemulsification tip vacuum pressure: Comparison of 4 devices.超声乳化头真空压力:4种设备的比较
Indian J Ophthalmol. 2020 Jan;68(1):187-188. doi: 10.4103/ijo.IJO_419_19.
J Cataract Refract Surg. 2006 Aug;32(8):1374-7. doi: 10.1016/j.jcrs.2006.02.066.
4
Origin of intraocular metallic foreign bodies during phacoemulsification.白内障超声乳化术中眼内金属异物的来源
J Cataract Refract Surg. 2005 Dec;31(12):2423-4. doi: 10.1016/j.jcrs.2005.10.025.
5
The nature and origin of intraocular metallic foreign bodies appearing after phacoemulsification.白内障超声乳化术后出现的眼内金属异物的性质与来源。
Ophthalmologica. 2003 May-Jun;217(3):212-4. doi: 10.1159/000068979.
6
Performance comparison of the Alcon Legacy 20000 1.1 mm TurboSonics and 0.9 mm Aspiration Bypass System tips.
J Cataract Refract Surg. 1999 Oct;25(10):1386-91. doi: 10.1016/s0886-3350(99)00201-1.
7
Anterior chamber metal fragments after phacoemulsification surgery.白内障超声乳化吸除术后前房金属碎片
J Cataract Refract Surg. 1998 Jun;24(6):810-3. doi: 10.1016/s0886-3350(98)80136-3.
8
Intravitreal phaco chopper fragment missed by computed tomography.计算机断层扫描遗漏的玻璃体内超声乳化切碎器碎片。
Br J Ophthalmol. 1998 Apr;82(4):460-1. doi: 10.1136/bjo.82.4.e456.
9
Intraocular deposition of metallic fragments during phacoemulsification: possible causes and effects.
Eye (Lond). 1997;11 ( Pt 3):421-2. doi: 10.1038/eye.1997.90.
10
Intraocular metallic-appearing foreign bodies after phacoemulsification.白内障超声乳化术后眼内出现金属样外观异物。
J Cataract Refract Surg. 1996 Nov;22(9):1247-50. doi: 10.1016/s0886-3350(96)80078-2.