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一种用于白内障手术中有效且安全的晶状体水分离的新型微创流体技术。

A novel minimal fluid technique for effective and safe lens hydrodissection during cataract surgery.

作者信息

Lin Hung-Yuan, Chuang Ya-Jung, Lin Ting-Yu, Chen Ming, Lin Pi-Jung

机构信息

Universal Eye Center, Zhongli, Taiwan.

Department of Optometry, Central Taiwan University of Science and Technology, Taichung, Taiwan.

出版信息

Taiwan J Ophthalmol. 2019 Jan-Mar;9(1):43-45. doi: 10.4103/tjo.tjo_137_18.

DOI:10.4103/tjo.tjo_137_18
PMID:30993067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6432847/
Abstract

Traditional hydrodissection may cause posterior capsule rupture (PCR) if excessive fluid accumulates. In this study, we describe the successful application of a novel minimal fluid hydrodissection technique in 100 consecutive cataract surgery cases. This technique separates the nucleus from the capsule utilizing low hydrostatic pressure and precise kinetic movement of a small volume (around 0.2 cc) of balanced salt solution. There were no instances of PCR. This technique is suitable for a range of cases, including femtosecond laser-assisted cataract surgery and posterior subcapsular cataract.

摘要

传统的水分离术如果液体过度积聚可能会导致后囊破裂(PCR)。在本研究中,我们描述了一种新型的最小液体水分离技术在连续100例白内障手术病例中的成功应用。该技术利用低静水压力和少量(约0.2毫升)平衡盐溶液的精确动力学运动将核与囊膜分离。没有出现后囊破裂的情况。该技术适用于一系列病例,包括飞秒激光辅助白内障手术和后囊下白内障。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb7a/6432847/f41c3b525612/TJO-9-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb7a/6432847/f41c3b525612/TJO-9-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb7a/6432847/f41c3b525612/TJO-9-43-g001.jpg

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本文引用的文献

1
The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery.飞秒激光辅助白内障手术中超声乳化套管冲洗辅助水分离的安全性和有效性
Clin Ophthalmol. 2018 Sep 20;12:1829-1835. doi: 10.2147/OPTH.S173088. eCollection 2018.
2
Hydrorupture of the posterior capsule in femtosecond-laser cataract surgery.飞秒激光白内障手术中后囊膜水分离破裂
J Cataract Refract Surg. 2012 Apr;38(4):730; author reply 730. doi: 10.1016/j.jcrs.2012.01.020.
3
Capsular block syndrome associated with femtosecond laser-assisted cataract surgery.
Int Ophthalmol. 2021 Oct;41(10):3539-3546. doi: 10.1007/s10792-021-01936-5. Epub 2021 Jun 29.
4
Multiquadrant versus single quadrant cortical cleaving hydrodissection during phacoemulsification of age related cataract.年龄相关性白内障超声乳化术中多象限与单象限皮质劈裂水分离术的比较
Saudi J Ophthalmol. 2019 Oct-Dec;33(4):347-352. doi: 10.1016/j.sjopt.2019.09.006. Epub 2019 Oct 8.
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.
4
Decreasing rate of capsule complications in cataract surgery: eight-year study of incidence, risk factors, and data validity by the Swedish National Cataract Register.白内障手术中囊袋并发症发生率的降低:瑞典国家白内障登记处对发病率、危险因素和数据有效性的八年研究。
J Cataract Refract Surg. 2011 Oct;37(10):1762-7. doi: 10.1016/j.jcrs.2011.05.022. Epub 2011 Aug 6.
5
The Cataract National Dataset electronic multi-centre audit of 55,567 operations: variation in posterior capsule rupture rates between surgeons.《白内障国家数据集》55567 例手术的电子多中心审计:外科医生之间后囊破裂率的差异。
Eye (Lond). 2010 May;24(5):888-93. doi: 10.1038/eye.2009.195. Epub 2009 Aug 14.
6
Tilt and tumble phacoemulsification.倾斜翻滚式超声乳化术
Dev Ophthalmol. 2002;34:44-58. doi: 10.1159/000060785.
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The 'pupil snap' sign of posterior capsule rupture with hydrodissection in phacoemulsification.白内障超声乳化术中水分离时后囊膜破裂的“瞳孔快速回缩”征
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