驯服极地熊：管理后极性白内障的十大技巧。
Taming the polar bear: Ten tips to manage posterior polar cataract.
机构信息
Department of Cataract, Rajan Eye Care Hospital, Chennai, Tamil Nadu, India.
出版信息
Indian J Ophthalmol. 2023 Jan;71(1):320-321. doi: 10.4103/ijo.IJO_2023_22.
BACKGROUND
Posterior polar cataracts are challenging even for skilled cataract surgeons due to the high risk of posterior capsule rupture and vitreous loss during cataract surgery; hence, it is important to know how to manage such cases.
PURPOSE
In this video, we describe the necessary precautions and steps to be taken to prevent and manage complications in phacoemulsification cataract surgery for posterior polar cataracts.
SYNOPSIS
The video contains ten tips to follow to avoid complications while performing phacoemulsification cataract surgery in patients with posterior polar cataracts and includes preoperative identification on slit-lamp examination, size of capsulorhexis, avoidance of hydrodissection, technique of nucleus management, viscoelastic injection to keep the anterior chamber formed, epinucleus and cortical matter removal, posterior capsular rupture management, anterior vitrectomy, and intraocular lens (IOL) implantation in eyes with posterior capsular rupture.
HIGHLIGHTS
The video highlights ten different steps to be followed in the surgical management of patients with posterior polar cataract which, if followed meticulously, can give excellent outcomes in these patients.
CONCLUSION
Posterior polar cataracts can be managed with phacoemulsification, with good visual outcomes if these precautions are followed.
VIDEO LINK
https://youtu.be/TeoLckE83xM. Additional information: Won Best Educational Video in a contest by phacotraining.org.
背景
由于在后囊破裂和玻璃体丢失的高风险，后极性白内障即使对于有经验的白内障手术医生来说也是一个挑战；因此，了解如何处理这些病例非常重要。
目的
在这个视频中，我们将描述在进行后极性白内障超声乳化手术时，为了预防和处理并发症所需的预防措施和步骤。
概要
该视频包含十个避免在后极性白内障患者的超声乳化白内障手术中发生并发症的建议，包括术前在裂隙灯检查中的识别、撕囊的大小、避免水分离、核处理技术、保持前房形成的粘弹剂注射、后囊下核和皮质的清除、后囊破裂的处理、前玻璃体切割术以及在发生后囊破裂的眼中植入人工晶状体。
重点
该视频突出了在后极性白内障患者的手术管理中需要遵循的十个不同步骤，如果仔细遵循，这些患者可以获得良好的结果。
结论
如果遵循这些预防措施，后极性白内障可以通过超声乳化手术来处理，可以获得良好的视力结果。
视频链接
https://youtu.be/TeoLckE83xM。其他信息：在 phacotraining.org 组织的比赛中获得最佳教育视频奖。
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