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糖尿病患者中沟固定型与囊袋固定型人工晶状体的后囊切开术

Posterior capsulotomy in sulcus-fixated versus bag-fixated intraocular lenses in diabetic patients.

作者信息

Alpar J J

出版信息

J Am Intraocul Implant Soc. 1985 Nov;11(6):577-80. doi: 10.1016/s0146-2776(85)80137-3.

DOI:10.1016/s0146-2776(85)80137-3
PMID:4077672
Abstract

Forty-one diabetic patients who had modified J-loop lenses with ten-degree angulation implanted in the ciliary sulcus and 58 diabetic patients who had the same style lenses implanted in the capsular bag had posterior capsulotomy performed on the table or later at predetermined intervals. The operation was performed with a cystotome needle or with the Nd:YAG laser on the first postoperative day or later. The study indicates that the development of new or the worsening of old diabetic iris and retinal changes, as well as cystoid macular edema, were much less if the intraocular lens was implanted in the capsular bag, at least nine months elapsed between cataract surgery and capsule interruption, and topical indomethacin and topical steroid treatment was given preoperatively and postoperatively. There was little difference in diabetic progression between cystotome needle and YAG laser posterior capsulotomy.

摘要

41例将有10度角的改良J袢型人工晶状体植入睫状沟的糖尿病患者以及58例将相同类型人工晶状体植入囊袋的糖尿病患者,在手术台上或之后按照预定间隔进行了后囊切开术。手术于术后第一天或之后使用截囊针或钕:钇铝石榴石激光进行。该研究表明,如果人工晶状体植入囊袋、白内障手术与囊膜切开之间至少间隔9个月,并且术前和术后给予局部吲哚美辛和局部类固醇治疗,那么新的糖尿病性虹膜和视网膜病变的发生或原有病变的恶化以及黄斑囊样水肿的情况要少得多。截囊针后囊切开术和钇铝石榴石激光后囊切开术在糖尿病进展方面差异不大。

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1
Posterior capsulotomy in sulcus-fixated versus bag-fixated intraocular lenses in diabetic patients.糖尿病患者中沟固定型与囊袋固定型人工晶状体的后囊切开术
J Am Intraocul Implant Soc. 1985 Nov;11(6):577-80. doi: 10.1016/s0146-2776(85)80137-3.
2
Cataract extraction and diabetic retinopathy.白内障摘除术与糖尿病视网膜病变
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One year follow-up of IOGEL intraocular lenses with ciliary sulcus fixation.采用睫状沟固定法的IOGEL人工晶状体的一年随访
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Effect of intraocular lens fixation on acute intraocular pressure rise after neodymium-YAG laser capsulotomy.人工晶状体固定对钕-YAG激光晶状体后囊切开术后急性眼压升高的影响。
Eye (Lond). 1996;10 ( Pt 4):509-13. doi: 10.1038/eye.1996.111.
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Effect of sulcus vs capsular fixation on YAG-induced pressure rises following posterior capsulotomy.后囊切开术后,泪槽固定与囊袋固定对YAG激光所致眼压升高的影响。
Arch Ophthalmol. 1990 Aug;108(8):1126-9. doi: 10.1001/archopht.1990.01070100082039.
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A prospective study of cystoid macular edema after neodymium: YAG laser posterior capsulotomy.钕钇铝石榴石激光后囊切开术后黄斑囊样水肿的前瞻性研究。
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Diabetes: cataract extraction and intraocular lenses.糖尿病:白内障摘除术与人工晶状体
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10
[The aqueous humor-vitreous body barrier and the blood-aqueous humor barrier after YAG laser capsulotomy in capsular sac vs ciliary sulcus fixation of the intraocular lens].[囊袋内与睫状沟固定人工晶状体的YAG激光后囊切开术后房水-玻璃体屏障及血-房水屏障]
Ophthalmologe. 1995 Jun;92(3):289-92.