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超声乳化术:关于改进其应用的建议。

Phacoemulsification: Proposals for Improvement in Its Application.

作者信息

Benítez Martínez Marta, Baeza Moyano David, González-Lezcano Roberto Alonso

机构信息

Department of Chemistry and Biochemistry, Campus Montepríncipe, Universidad San Pablo CEU, 28668 Alcorcón, Madrid, Spain.

Arquitecture and Design Department, Escuela Politécnica Superior, Campus Montpríncipe, Universidad San Pablo CEU, 28668 Alcorcón, Madrid, Spain.

出版信息

Healthcare (Basel). 2021 Nov 22;9(11):1603. doi: 10.3390/healthcare9111603.

DOI:10.3390/healthcare9111603
PMID:34828648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8621996/
Abstract

A cataract is defined as opacity of the crystalline lens. It is currently one of the most prevalent ocular pathologies and is generally associated with aging. The most common treatment for cataracts is surgery. Cataract surgery is a quick and painless process, is very effective, and has few risks. The operation consists of removing the opacified lens and replacing it with an intraocular lens. The most common intraocular lens removal procedure that is currently used is phacoemulsification. The energy applied in this process is generated by ultrasonic waves, which are mechanical waves with a frequency higher than 20 kHz. A great deal of research on the different ways to perform the stages of this surgical procedure and the analysis of the possible side effects of the operation has been published, but there is little information on the technical characteristics, the intensities applied, and the use of ultrasound-emitting (U/S) equipment for cataract removal. More studies on the method and depth of absorption of ultrasonic waves in our visual system when performing the phacoemulsification procedure are needed. It would be advisable for health authorities and medical professionals to develop guidelines for the handling and use of ultrasonic wave-emitting equipment, such as those that exist for ultrasound and physiotherapy. This could help us to reduce undesirable effects after the operation.

摘要

白内障被定义为晶状体混浊。它是目前最常见的眼部疾病之一,通常与衰老有关。白内障最常见的治疗方法是手术。白内障手术是一个快速且无痛的过程,非常有效,风险也很小。手术包括摘除混浊的晶状体并用人工晶状体替换。目前最常用的人工晶状体摘除手术是超声乳化术。此过程中应用的能量由超声波产生,超声波是频率高于20 kHz的机械波。关于执行该手术各阶段的不同方法以及对手术可能的副作用的分析,已经发表了大量研究,但关于技术特性、应用强度以及用于白内障摘除的超声发射(U/S)设备的使用的信息却很少。需要更多关于在进行超声乳化手术时超声波在我们视觉系统中的吸收方法和深度的研究。卫生当局和医学专业人员最好制定关于超声发射设备的操作和使用指南,就像现有的关于超声和物理治疗的指南一样。这有助于我们减少手术后的不良影响。

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本文引用的文献

1
Cataract: Advances in surgery and whether surgery remains the only treatment in future.白内障:手术进展以及手术在未来是否仍为唯一治疗方法。
Adv Ophthalmol Pract Res. 2021 Oct 21;1(1):100008. doi: 10.1016/j.aopr.2021.100008. eCollection 2021 Nov.
2
Effect of surgical abstinence on the risk for posterior capsule rupture during cataract surgery.手术禁欲对白内障手术中后囊破裂风险的影响。
J Cataract Refract Surg. 2022 Feb 1;48(2):173-176. doi: 10.1097/j.jcrs.0000000000000741.
3
Accelerated Corneal Endothelial Cell Loss after Phacoemulsification in Patients with Mildly Low Endothelial Cell Density.轻度角膜内皮细胞密度降低患者白内障超声乳化术后角膜内皮细胞加速丢失
J Clin Med. 2021 May 24;10(11):2270. doi: 10.3390/jcm10112270.
4
Comparison of cumulative dispersed energy between conventional phacoemulsification and femtosecond laser-assisted cataract surgery with two different lens fragmentation patterns.比较两种不同晶状体粉碎模式的传统超声乳化白内障吸除术与飞秒激光辅助白内障手术的累积弥散能量。
Lasers Med Sci. 2022 Mar;37(2):843-848. doi: 10.1007/s10103-021-03321-1. Epub 2021 Apr 19.
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What Is the Cost of a Posterior Capsule Rupture Complication?后囊破裂并发症的代价是什么?
Ophthalmic Surg Lasers Imaging Retina. 2020 Aug 1;51(8):444-447. doi: 10.3928/23258160-20200804-04.
6
Cataract phacoemulsification performed by resident trainees and staff surgeons: intraoperative complications and early postoperative intraocular pressure elevation.白内障超声乳化术由住院医师和主治医生进行:术中并发症和术后早期眼压升高。
J Cataract Refract Surg. 2020 Apr;46(4):555-561. doi: 10.1097/j.jcrs.0000000000000105.
7
Risk Factors for Intraocular Lens Dislocation After Phacoemulsification: A Nationwide Population-Based Cohort Study.超声乳化术后人工晶状体脱位的危险因素:一项基于全国人群的队列研究。
Am J Ophthalmol. 2020 Jun;214:86-96. doi: 10.1016/j.ajo.2020.03.012. Epub 2020 Mar 21.
8
Very long-term rate of posterior laser capsulotomy and corneal endothelial cell loss after phacoemulsification.白内障超声乳化术后后囊膜激光切开术的长期发生率及角膜内皮细胞丢失情况
J Cataract Refract Surg. 2020 Feb;46(2):327. doi: 10.1097/j.jcrs.0000000000000056.
9
Clinical Investigation into Posterior Capsule Rupture in Phacoemulsification Operations Performed by Surgery Trainees.手术学员进行的白内障超声乳化手术中后囊破裂的临床研究。
J Ophthalmol. 2020 Feb 12;2020:1317249. doi: 10.1155/2020/1317249. eCollection 2020.
10
Anterior vitreous detachment: risk factor for intraoperative complications during phacoemulsification.前玻璃体脱离:白内障超声乳化术中并发症的危险因素。
J Cataract Refract Surg. 2020 Jan;46(1):55-62. doi: 10.1016/j.jcrs.2019.08.005.