气泡技术处理后囊膜破裂的临床结果
Clinical outcomes of management of posterior capsule rupture with air bubble techniques.
作者信息
Park Jongyeop, Lee Seungwoo, Kim Jinhyun
机构信息
Department of Ophthalmology, Samsung Medical Center, #81, Irwon-ro, Gangnam-gu, Seoul 06351, Republic of Korea.
Department of Ophthalmology, Dongguk University Gyeongju Hospital, Gyeongju-si, Gyeongsangbuk-do 38067, Republic of Korea.
出版信息
Int J Ophthalmol. 2020 Dec 18;13(12):2007-2011. doi: 10.18240/ijo.2020.12.24. eCollection 2020.
AIM
To introduce a new surgical technique, air-bubble technique for the management of posterior capsule rupture (PCR) and to evaluate the safety and efficacy of the technique.
METHODS
A retrospective case series analysis of 24 eyes of 24 patients, in which the air bubble technique was used for the management of PCR, was performed. Once PCR occurred, a dispersive ophthalmic viscosurgical device (OVD) was injected into the tear. And small volumes (0.2-0.3 mL) of air bubbles were injected beneath the OVD. The air bubble served as a physical barrier and supported the posterior capsule.
RESULTS
After surgery, none of the patients had serious complications during the follow-up period of 1y. Extension of the PCR size occurred in only 2 cases, and additional OVD injection was required only in 3 cases. Air bubbles imparted great stability to the nuclear pieces and the posterior capsule.
CONCLUSION
The air-bubble technique may be considered a safe and effective procedure for managing a PCR. It may be of value to the inexperienced cataract surgeon.
目的
介绍一种用于处理后囊膜破裂（PCR）的新手术技术——气泡技术，并评估该技术的安全性和有效性。
方法
对24例患者的24只眼进行回顾性病例系列分析，这些患者采用气泡技术处理PCR。一旦发生PCR，将分散性眼科粘弹剂（OVD）注入破口处。然后在OVD下方注入少量（0.2 - 0.3 mL）气泡。气泡作为物理屏障支撑后囊膜。
结果
术后，所有患者在1年的随访期内均未出现严重并发症。仅2例PCR面积扩大，仅3例需要额外注入OVD。气泡使核块和后囊膜具有很高的稳定性。
结论
气泡技术可被认为是处理PCR的一种安全有效的方法。它可能对经验不足的白内障手术医生有价值。
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