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[近视眼的白内障手术]

[The surgery of cataract in the myopic eye].

作者信息

Chercotă V

机构信息

Clinica de Oftalmologie, Timişoara.

出版信息

Oftalmologia. 1996 Oct-Dec;40(4):410-6.

PMID:8962876
Abstract

The degenerative lesions from forte myopia concern all eyeball structures. On its turn, the cataract of the myopic eye, presents in this context specific features which impose some particularities of the surgical act. Within the framework of the preoperative balance sheet, many aspects are discussed: morphopathological specific features of the crystalline lens, the myopic eye glaucoma, the state of the vitreous body, cornea and peripheral fundus oculi, calculus of the implant, choice of the anesthesia. Regarding like surgical technique it is recommended the extracapsular crystalline lens extraction, practiced with sclerocorneal tunneling and phacoemulsification, this technique ensuring a pressuring regime and constant volume at the level of the anterior segment. The postoperative complications and their therapeutical conduct are also discussed: the retinal detachment, the glaucoma the macular cystoid edema, secondary cataract.

摘要

高度近视引起的退行性病变累及眼球所有结构。在此背景下,近视眼白内障呈现出一些特定特征,这些特征决定了手术操作的某些特殊性。在术前评估框架内,会讨论许多方面:晶状体的形态病理学特征、近视眼青光眼、玻璃体、角膜和周边眼底的状况、植入物的计算、麻醉的选择。关于手术技术,建议采用巩膜隧道切口和超声乳化进行囊外晶状体摘除术,该技术可确保眼前节的压力状态和恒定容积。还会讨论术后并发症及其治疗方法:视网膜脱离、青光眼、黄斑囊样水肿、后发性白内障。

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