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[全氟碳液体在晶状体半脱位手术中的应用]

[Liquid perfluorocarbons in surgery for lens subluxation].

作者信息

Karel I, Dotrelová D

机构信息

II. ocní klinika 1. LF UK, Praha.

出版信息

Cesk Oftalmol. 1993 Apr;49(2):67-71.

PMID:8490970
Abstract

Liquid perfluocarbons (PFC) with a high specific weight and low viscosity were used to remove dislocated lenses from the vitreous body cavity in four patients. In three patients dislocation of the lens with the firm nucleus into the vitreous body cavity occurred following severe contusion, in one female patient luxation of a posterior chamber lens occurred after implantation. After pars plana vitrectomy the liquid PFC lifted the dislocated lens from the bottom of the eye beyond the pupil and from there the lens was removed by means of a cryoprobe and the posterior chamber artificial lens was removed by means of forceps. Liquid PFC are a simple and sparing tool for removal of lenses with a firm nucleus and of implanted lenses from the vitreous body cavity. They reduce manipulation with instruments inside the vitreous body cavity to a minimum. Their use is the operation of choice. The high price of PFC is outweighed by the minimal risk of surgical and postoperative retinal complications.

摘要

四种具有高比重和低粘度的液态全氟化碳(PFC)被用于从四名患者的玻璃体腔中取出脱位晶状体。三名患者在严重挫伤后晶状体核坚硬地脱位至玻璃体腔,一名女性患者在植入后房型晶状体后发生脱位。在经平坦部玻璃体切除术后,液态PFC将脱位晶状体从眼底提升至瞳孔上方,然后通过冷冻探头取出晶状体,并通过镊子取出后房型人工晶状体。液态PFC是一种简单且节省的工具,用于从玻璃体腔中取出核坚硬的晶状体和植入的晶状体。它们将玻璃体腔内器械操作降至最低。它们的使用是首选手术方式。PFC的高价格被手术及术后视网膜并发症的最小风险所抵消。

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