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环形撕囊在小儿外伤性白内障手术中的应用。

Banded technique for pediatric traumatic cataract surgery.

机构信息

UPMC Eye Center, Children's Hospital of Pittsburgh UPMC, Pittsburgh, Pennsylvania, USA.

UPMC Eye Center, Children's Hospital of Pittsburgh UPMC, Pittsburgh, Pennsylvania, USA; Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA; School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

出版信息

J Cataract Refract Surg. 2019 Jan;45(1):8-10. doi: 10.1016/j.jcrs.2018.08.028. Epub 2018 Nov 1.

Abstract

We describe a technique for pediatric traumatic cataract management in cases in which part of the anterior capsule has been ruptured. The technique requires creating a 2-incision push-pull capsulorhexis in the intact anterior capsule. The capsulorhexis is made in a manner that converts the edge of the ruptured anterior capsule into a band of capsule that holds the intraocular lens (IOL) in the bag, reducing the incidence of early, intermediate, or late postoperative lens-iris capture. It also reduces the chances of IOL displacement.

摘要

我们描述了一种在部分前囊破裂的儿童外伤性白内障病例中的处理技术。该技术需要在前完整的前囊上做一个两切口的推挽式撕囊。撕囊的方式是将破裂的前囊边缘变成一个囊带,将人工晶状体(IOL)固定在囊袋内,从而降低术后早期、中期或晚期晶状体虹膜嵌顿的发生率。它还降低了 IOL 移位的可能性。

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