Breusegem R
Bull Soc Belge Ophtalmol. 1993;249:29-32.
Phacoemulsification has become the procedure of choice for many ophthalmologists. Corneal trauma with subsequent corneal edema and rupture of the posterior capsule with vitreous loss are the feared complications. Although the incidence of the major complications is low the visual out-come can be disappointing. I reviewed my first 150 phaco patients in whom I performed Shepherd's cracking technique. Transient corneal edema occurred in 6 patients. Rupture of the posterior capsule occurred in 3 cases and partial zonular dialysis in 1 case; vitreous loss was present in all 4 patients and could be managed adequately by vitrectomy without adverse effect on visual acuity.
超声乳化术已成为许多眼科医生的首选手术方法。角膜创伤继发角膜水肿以及后囊破裂伴玻璃体丢失是令人担忧的并发症。尽管主要并发症的发生率较低，但视觉效果可能不尽人意。我回顾了我首批采用谢泼德劈裂技术的150例超声乳化手术患者。6例患者出现短暂性角膜水肿。3例发生后囊破裂，1例出现部分悬韧带离断；4例患者均有玻璃体丢失，可通过玻璃体切除术得到妥善处理，且对视力无不良影响。
