年龄相关性白内障超声乳化摘除IOL植入术并发症及处理

Clinical management of the complications of phacoemulsification combined with intraocular lens implantation in age-related cataract

摘要:

目的:探讨年龄相关性白内障超声乳化摘除人工晶状体(IOL)植入术常见并发症的发生原因及处理原则。方法:对578例603眼的术后并发症进行临床分析。结果:术后出现角膜内皮水肿42眼(7.0%),晶状体后囊膜破裂19眼(3.2%),暂时性高眼压29眼(4.8%),眼前节毒性综合征2眼(0.3%),黄斑囊样水肿2眼(0.3%),人工晶状体移位1眼(0.2%)。结论:并发症发生与超声乳化本身的损害因素及术者的操作技术及经验密切相关,术前应了解发生并发症的原因及症状,以便预防和处理。

Abstract:

AIM:To discuss the cause and management of the complications of phacoemulsification combined with intraocular lens(IOL)implantation in age-related cataract.METHODS:Totally 578 cases(603 eyes)of postoperative complications were clinically analyzed.RESULTS:Corneal endothelial edema was in 42 eyes(7.0%),ruptured posterior lens capsule 19 eyes(3.2%),temporary ocular hypertension 29 eyes(4.8%),toxic anterior segment syndrome 2 eyes(0.3%),cystoid macular edema 2 eyes(0.3%),IOL dislocation 1 eye(0.2%).CONCLUSION:Complications are related to the latent factors of phacoemulsification,surgical technique and experience of surgeons.Through understanding the reasons and symptoms of complications before the operation,the complications can be prevented and managed.